(form "12003" (size 43 13)
  (help "12003_TIP_0") 
  (heading "SELECT MULTIPLE ZONES")
  (label (position  2  3) (text "Define the field and zones required"))
  (label (position  2  4) (text "Field name"))
  (label (position  2  6) (text "Zone 1"))
  (label (position  2  7) (text "Zone 2"))
  (label (position  2  8) (text "Zone 3"))
  (label (position  2  9) (text "Zone 4"))
  (label (position  2 10) (text "Zone 5"))
  (field "geofield" (position 18  4) (display_length 20) (input allowed)
    (null allowed) (max_length 20))
  (field "zone1" (position 18  6) (display_length 20) (input allowed)
    (null allowed) (max_length 20))
  (field "zone2" (position 18  7) (display_length 20) (input allowed)
    (null allowed) (max_length 20))
  (field "zone3" (position 18  8) (display_length 20) (input allowed)
    (null allowed) (max_length 20))
  (field "zone4" (position 18  9) (display_length 20) (input allowed)
    (null allowed) (max_length 20))
  (field "zone5" (position 18 10) (display_length 20) (input allowed)
    (null allowed) (max_length 20))
  (default_buttons)
)