<div class="input-has-placeholder input-separate-top"> <label><?php _e('City area'); ?> </label> <?php ItemForm::city_area_text(); ?> </div> <div class="input-has-placeholder input-separate-top"> <label><?php _e('Zip code'); ?> </label> <?php ItemForm::zip_text(); ?> </div> <div class="input-has-placeholder input-separate-top"> <label><?php _e('Address'); ?> </label> <?php ItemForm::address_text(); ?> </div> </div> <div class="well ui-rounded-corners input-separate-top"> <h3 class="label"><?php