Specifics of HTML would depend on where you are trying to place this information in a form. What are you trying to accomplish? Because you can enter all that directly into the Address field for the customers when you define them. See the guide:
https://forum.manager.io/t/creating-and-using-customers/7018
Read the portion about adding additional information. (Note that one example shows a delivery route custom field in the wrong place. That guide has not yet been updated for the recent theme changes. The concept is still valid, though.)