Co./Last Name First Name Card Status Addr 1 - Line 1 - Line 2 - City - State - Postcode - Country - Phone # 1 - Phone # 2 - Fax # - Email - WWW Addr 2 - Line 1 - Line 2 - City - State - Postcode - Country - Phone # 1 - Phone # 2 - Fax # - Email - WWW Notes GST ID No. John Citizen N 7 Example St Auckland Auckland 1011 0499 000 000 example@hotmail.com