|
Field
|
Data
|
Req |
Description, Messages
|
| First |
|
*
|
example: Michael |
| Familiar |
|
|
example: Mike, or what you like people to call you |
| Init |
|
|
|
| Last |
|
*
|
|
| Suffix |
|
|
|
| Email |
|
*
|
|
| Birthdate |
|
|
format: m/d/yyyy |
| Occupation |
|
|
|
| Company |
|
|
leave blank if this account is personal |
| Mail1 |
|
*
|
Your main street address |
| Mail2 |
|
|
Use only when necessary |
| City |
|
*
|
|
| State/Province |
|
*
|
|
| Zip/Postal Code |
|
*
|
|
| Country |
|
*
|
|
| Home Phone |
|
**
|
|
| Cell Phone |
|
**
|
|
| Work Phone |
|
**
|
|
| Fax |
|
|
|
|
|
**At least one phone number is required |
