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<!DOCTYPE html>
<html>
<head>
  <meta charset="utf-8">
  <meta name="viewport" content="width=device-width">
  <title>JS Bin</title>
</head>
<body>
  <form>
    <div>name: <input type="text" name="name" /></div>
    <div>email: <input type="text" name="email" /></div>
    <div>address: <input type="text" name="address" /></div>
    <div>city: <input type="text" name="city" /></div>
    <div>state: <input type="text" name="state" /></div>
    <div style="padding-top:640px;">zip:<input type="text" name="zip" /></div>
    <div><input type="submit" /></div>
  </form>
</body>
</html>
Output

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