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<div class="jsfiddle-container">
  <form>
    <div class="row">
      <label for="country">Country:</label>
      <input type="text" id="country">
    </div>
    <div class="row">
      <label for="street">Street:</label>
      <input type="text" id="street">
    </div>
    <div class="row">
      <label for="city">City:</label>
      <input type="text" id="city">
    </div>
    <div class="row">
      <label for="state">State:</label>
      <input type="text" id="state">
    </div>
    <div class="row">
      <label for="ZIP">Postal Code:</label>
      <input type="text" id="ZIP">
    </div>
    <div class="row bottom">
      <input type="submit" value="Verify Address">
    </div>
  </form>
</div>