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<div class="page hidden" id="autoFillEditAddressOverlay">
<h1 id="autoFillAddressTitle"></h1>
<div class="content-area">
<div class="input">
<label id="fullNameLabel">
<div><span i18n-content="fullNameLabel"></span></div>
<input type="text" class="form" class="form" id="fullName">
</label>
</div>
<div class="input">
<label id="companyNameLabel">
<div><span i18n-content="companyNameLabel"></span></div>
<input type="text" class="form" class="form" id="companyName">
</label>
</div>
<div class="input">
<label id="addrLine1Label">
<div><span i18n-content="addrLine1Label"></span></div>
<input type="text" class="form" class="form" id="addrLine1">
</label>
</div>
<div class="input">
<label id="addrLine2Label">
<div><span i18n-content="addrLine2Label"></span></div>
<input type="text" class="form" class="form" id="addrLine2">
</label>
</div>
<div class="table">
<div class="row">
<div class="input cell">
<label id="cityLabel" for="city">
<span i18n-content="cityLabel"></span>
</label>
</div>
<div class="input cell">
<label id="stateLabel" for="state">
<span i18n-content="stateLabel"></span>
</label>
</div>
<div class="input cell">
<label id="zipCodeLabel" for="zipCode">
<span i18n-content="zipCodeLabel"></span>
</label>
</div>
</div>
<div class="row">
<div class="input cell">
<input type="text" class="form" id="city">
</div>
<div class="input cell">
<input type="text" class="form" id="state">
</div>
<div class="input cell">
<input type="text" class="form" id="zipCode">
</div>
</div>
</div>
<div class="input">
<label id="countryLabel">
<div><span i18n-content="countryLabel"></span></div>
<input type="text" class="form" class="form" id="country">
</label>
</div>
<div class="table">
<div class="row">
<div class="input cell">
<label id="phoneLabel" for="phone">
<span i18n-content="phoneLabel"></span>
</label>
</div>
<div class="input cell">
<label id="faxLabel" for="fax">
<span i18n-content="faxLabel"></span>
</label>
</div>
</div>
<div class="row">
<div class="input cell">
<input type="text" class="form" class="form" id="phone">
</div>
<div class="input cell">
<input type="text" class="form" class="form" id="fax">
</div>
</div>
</div>
<div class="input">
<label id="emailLabel">
<div><span i18n-content="emailLabel"></span></div>
<input type="text" class="form" class="form" id="email">
</label>
</div>
</div>
<div class="action-area">
<div class="button-strip">
<button type="reset" id="autoFillEditAddressCancelButton"
i18n-content="cancel"></button>
<button type="submit" id="autoFillEditAddressApplyButton" disabled
i18n-content="ok"></button>
</div>
</div>
</div>
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