<form action="t4.php?affinity_select=<?php echo $POST['affinity_select']; ?>" method="post">
<input type="hidden" name="redirect" value="<?php echo $POST['redirect'];?>">
<input type="hidden" name="affinity_id" value="<?php echo $REQUEST['affinity_id'];?>">
<input type="hidden" name="affinity_select" value="<?php echo $REQUEST['affinity_select'];?>">
City <input type="text" name="city">
State 
<SELECT name="state_select">
<option value="" SELECTED><?php echo $row['state']; ?></option>
<?php
foreach( $states as $id => $state ) {
?>
<option value="<?php echo $state?>" ><?php echo $state?></option>
<?php
}
?>
</SELECT>
Zip <input type="text" name="zip">
Within your 
<SELECT name="filter">
<option value="" SELECT></option>
<option value="city">City</option>
<option value="state">State</option>
<option value="zip">Zip code</option>
</SELECT>
<INPUT type="SUBMIT" name="SUBMIT" value="Search">