<div class="palm-row first">
    <div class="palm-row-wrapper textfield-group" x-mojo-focus-highlight="true">
        <div class="title">
            <div class="label right" x-mojo-loc="">Улица, дом, квартира</div>
            <div name="streetAddressField" x-contacts-property-name="streetAddress" x-mojo-element="TextField">
            </div>
        </div>
    </div>
</div>
<div class="palm-row">
    <div class="palm-row-wrapper textfield-group" x-mojo-focus-highlight="true">
        <div class="title">
            <div class="label right" x-mojo-loc="">Город</div>
            <div name="cityField" x-contacts-property-name="city" x-mojo-element="TextField">
            </div>
        </div>
    </div>
</div>
<div class="palm-row">
    <div class="palm-row-wrapper textfield-group" x-mojo-focus-highlight="true">
        <div class="title">
            <div class="label right" x-mojo-loc="">Область</div>
            <div name="stateField" x-contacts-property-name="state" x-mojo-element="TextField">
            </div>
        </div>
    </div>
</div>
<div class="palm-row ">
    <div class="palm-row-wrapper textfield-group" x-mojo-focus-highlight="true">
        <div class="title">
            <div class="label right" x-mojo-loc="">Почтовый индекс</div>
            <div name="zipField" x-contacts-property-name="zip" x-mojo-element="TextField">
            </div>
        </div>
    </div>
</div>
<div class="palm-row last">
    <div class="palm-row-wrapper textfield-group" x-mojo-focus-highlight="true">
        <div class="title">
            <div class="label right" x-mojo-loc="">Страна</div>
            <div name="countryField" x-contacts-property-name="country" x-mojo-element="TextField">
            </div>
        </div>
    </div>
</div>