<tr>
<th align=right nowrap>| . $locale->text('Street') . qq|</th>
<td><input name=street size=35 tabindex=4 maxlength=75 value="$form->{street}"></td>
<tr>
<th align=right nowrap>| . $locale->text('Street') . qq|</th>
<td><input name=street size=35 tabindex=4 maxlength=75 value="$form->{street}"></td>