<!DOCTYPE html>
<html>
  <head>
    <title>Server-Side Validation Example</title>
    <meta charset="utf-8" />
	<style type="text/css">
      form div {
        clear: left;
      }
      form div em {
        float: left;
        width: 4em;
      }
    </style>
  </head>

  <body>
<form action="form-validation.php" method="post">
  <div><em>City:</em>  <input name="city" /></div>
  <div><em>State:</em> <input name="state" size="2" maxlength="2" /></div>
  <div><em>ZIP:</em>   <input name="zip" size="5" maxlength="5" /></div>
  <div><input type="submit" /></div>
</form>
  </body>
</html>
