<form method="post" action="demoform.asp">
<div class="ui-field-contain">
<label for="fullname">Customer Name:</label>
<input type="text" name="fullname" id="fullname">
<label for="cuno">Customer Number:</label>
<input type="text" name="numb" id="numb">
< fieldset class = "ui-field-contain" ><label for="status">Dispute Status</label>
<select name="status" id="status">
<option value="mon">Open</option>
<option value="tue">Accepted</option>
</select>
</fieldset>
<fieldset class="ui-field-contain">
<label for="country">Country</label>
<select name="country" id="country">
<option value="ind">India</option>
<option value="aus">Australia</option>
</select>
</fieldset>
</div>
<input type="submit" data-inline="true" value="Submit">
</form>
Thanks..Johnson