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                <form action="#" method="post" class="fancy-form">

    <p class="instructions">Start by entering your zip code.</p>
        <input type="text" name="address-line-1" id="address-line-1">
        <label for="address-line-1">Street #1</label>
        <input type="text" name="address-line-2" id="address-line-2">
        <label for="address-line-2">Street #2</label>
      <div class="city-wrap">
        <input type="text" name="city" id="city">
        <label for="city">City</label>
      <div class="state-wrap">
        <input type="text" name="state" id="state">
        <label for="state">State</label>
      <div class="zip-wrap">
        <input type="text" pattern="[0-9]*" maxlength="5" required name="zip" id="zip">
        <label for="zip">Zip</label>
        <p class="zip-error">Not a real zip code.</p>

    <div class="submit-wrap">
      <input type="submit" value="Submit">




                body {
	font: 12px "Lucida Grande", serif;

.fancy-form {
	background: #f7f7f7;
	border-radius: 6px;
	padding: 20px;
	box-shadow: 0px 1px 3px 0px rgba(0, 0, 0, 0.2), inset 0px 0px 0px 1px rgba(255, 255, 255, 1);
	border: 1px solid #B2B2B2;

.fancy-form input {
	transition: all 0.3s ease-out;

.fancy-form input[type="text"] {
	outline: none;
	border: 1px solid #cccccc;
	box-shadow: 0px 0px 0px 4px rgba(0, 0, 0, 0.1), inset 0px 1px 0px 0px rgba(255, 255, 255, 1), inset 0px 1px 6px 0px rgba(0, 0, 0, 0.05);
	border-radius: 3px;
	padding: 7px 10px;
	background: #f1f1f1;
	color: #b5b5b5;
	margin-bottom: 4px;

.fancy-form input[type="text"]:hover {
	background: #f7f7f7;

.fancy-form input[type="text"]:focus {
	box-shadow: 0px 0px 0px 5px rgba(0, 0, 0, 0.1), 0px 1px 5px 0px rgba(0, 0, 0, 0.2), inset 0px 1px 6px 0px rgba(0, 0, 0, 0.1);
	background: #fff;
	border-color: transparent;
	color: #565656;

.fancy-form fieldset {
	border: none;
	padding: 25px 10px 10px 10px;

.fancy-form legend {
	font: 26px "Lucida Sans Unicode", "Lucida Grande", sans-serif;
	text-transform :uppercase;
	text-shadow: 0 1px 1px #fff;
	color: #1b6d8e;
	padding: 0 5px;

.fancy-form label {
	display: block;
	font: 14px Arial, Helvetica, sans-serif;
	padding-left: 10px;
	letter-spacing: 1px;
	padding-left: 10px;
	color: #1b6d8e;
	opacity: 0.8;
.fancy-form input:focus + label {
	opacity: 1.0;

.fancy-form input:not([type=submit]) {
	width: 100%;
	display: block;

.submit-wrap {
	display: none;

.fancy-form div {
	margin: 0 0 6px 0;
	clear: both;

.fancy-form div > div {
	padding: 4px;

.fancy-form .city-wrap {
	width: 69%;
	margin-right: 1%;

.fancy-form .state-wrap {
	width: 9%;
	margin-right: 1%;

.fancy-form .zip-wrap {
	width: 20%;
	display: block !important;

.zip-error {
	color: #d70000;
	font: 12px "Lucida Sans Unicode", "Lucida Grande", sans-serif;
	border-top: 2px dotted #ec9696;
	border-bottom: 2px dotted #ec9696;
	text-align: center;
	padding: 5px 10px;
	margin-top: 10px;
	display: none;



                function is_int(value) {
  if ((parseFloat(value) == parseInt(value)) && !isNaN(value)) {
    return true;
  } else {
    return false;

$(".fancy-form div > div").hide();

$("#zip").keyup(function() {

  // Cache
  var el = $(this);

  // Did they type five integers?
  if ((el.val().length == 5) && (is_int(el.val()))) {

    // Call Ziptastic for information
      url: "" + el.val(),
      cache: false,
      dataType: "json",
      type: "GET",
      success: function(result, success) {

        $(".zip-error, .instructions").slideUp(200);



        $(".fancy-form div > div").slideDown();


      error: function(result, success) {




  } else if (el.val().length < 5) {