</tr>                        
            <tr>
                <td class="inputLabel"><font color="#ff0000">*</font> City: </td>
                <td><input class="inputField" type="text" name="txtCity" value=""></td>
            </tr>
            <tr>
                <td class="inputLabel"><font color="#ff0000">*</font> State: </td>
                <td>
                <select name="optState">

                <option value="<?php echo $state['ID'];?>"><?php echo $state['STATE'];?></option>
              
                </select> 
                </td>
            </tr>
            <tr>
                <td class="inputLabel"><font color="#ff0000">*</font> Zip Code: </td>
                <td><input class="inputField" type="text" name="txtZipCode" value=""></td>
            </tr>
            <tr>
                <td class="inputLabel"><font color="#ff0000">*</font> Home Phone: </td>
                <td><input class="inputField" type="text" name="txtHomePhone1" value="" size="3" maxlength="3"> -
                    <input class="inputField" type="text" name="txtHomePhone2" value="" size="3" maxlength="3"> -
                    <input class="inputField" type="text" name="txtHomePhone3" value="" size="4" maxlength="4"></td>
            </tr>                        
            <tr>
                <td class="inputLabel">&nbsp;&nbsp;Work Phone: </td>
                <td><input class="inputField" type="text" name="txtWorkPhone1" value="" size="3" maxlength="3"> -
                    <input class="inputField" type="text" name="txtWorkPhone2" value="" size="3" maxlength="3"> -
                    <input class="inputField" type="text" name="txtWorkPhone3" value="" size="4" maxlength="4"></td>
            </tr>
            <tr>
                <td class="inputLabel">&nbsp;&nbsp;Mobile Phone: </td>
                <td><input class="inputField" type="text" name="txtMobilePhone" value=""></td>
            </tr>
            <tr>
                <td class="inputLabel"><font color="#ff0000">*</font> Email: </td>
                <td><input class="inputField" type="text" name="txtEmail" value=""></td>
            </tr>            
              <tr>
                <td class="inputLabel"><font color="#ff0000">*</font> Hire Date: </td>
                <td><input class="inputField" type="text" name="txtHireDate" size="10" value="">
                    <a href="" onClick="javascript:displayDatePicker('txtHireDate');return false;">
                    <img src="../../../images/cal.gif" border=0></a></td>
            </tr>          
            <tr>
                <td colspan="2" align="center" style="padding-left:25px;"><font color="#ff0000">*</font> Fields are mandatory</td>
            </tr>
            <tr>
                <td colspan="2" style="padding-left:70px;"><input type="submit" name="btnAdd" value="Add User">
                <input type="button" name="btnCancel" value="Cancel" onclick="javascript:window.location.href='../index/index';">       </td>
            </tr>
            </table>
        </form>