<input type="text" name="address" value="<!-- TMPL_VAR NAME="address" -->" id="address" />
<input type="text" name="address2" value="<!-- TMPL_VAR NAME="address2" -->" id="address2" /></li>
<li><label for="city">City, State:</label> <input id="city" type="text" value="<!-- TMPL_VAR name="city" -->" name="city" /></li>
-<li><label for="zipcode">Zip Code: </label><input id="zipcode" name="zipcode" value="<!-- TMPL_VAR NAME="zipcode" -->" name="zipcode" /></li>
-<li><label for="country">Country: </label><input id="country" name="country" value="<!-- TMPL_VAR NAME="country" -->" name="country" /></li>
+<li><label for="zipcode">Zip Code: </label><input id="zipcode" value="<!-- TMPL_VAR NAME="zipcode" -->" name="zipcode" /></li>
+<li><label for="country">Country: </label><input id="country" value="<!-- TMPL_VAR NAME="country" -->" name="country" /></li>
<li><label for="phone">Home Phone:</label> <input id="phone" type="text" value="<!-- TMPL_VAR name="phone" -->" name="phone" /></li>
<li><label for="mobile">Mobile Phone:</label> <input id="mobile" type="text" value="<!-- TMPL_VAR name="mobile" -->" name="mobile" /></li>
<li><label for="phonepro">Work phone:</label> <input id="phonepro" type="text" value="<!-- TMPL_VAR name="phonepro" -->" name="phonepro" /></li>
</li>
<li><label for="B_city">City, State:</label> <input id="B_city" type="text" value="<!-- TMPL_VAR name="B_city" -->" name="B_city" /></li>
-<li><label for="B_zipcode">Zip Code:</label> <input type="text" id="B_zipcode" name="B_zipcode" value="<!-- TMPL_VAR NAME="B_zipcode" -->" name="B_zipcode" /></li>
-<li><label for="B_country">Country:</label> <input type="text" id="B_country" name="B_country" value="<!-- TMPL_VAR NAME="B_country" -->" name="B_country" /></li>
-<li><label for="B_phone">Phone:</label> <input type="text" id="B_phone" name="B_phone" value="<!-- TMPL_VAR NAME="B_phone" -->" name="B_phone" /></li>
-<li><label for="B_email">Email:</label> <input type="text" id="B_email" name="B_email" value="<!-- TMPL_VAR NAME="B_email" -->" name="B_email" /></li>
+<li><label for="B_zipcode">Zip Code:</label> <input type="text" id="B_zipcode" value="<!-- TMPL_VAR NAME="B_zipcode" -->" name="B_zipcode" /></li>
+<li><label for="B_country">Country:</label> <input type="text" id="B_country" value="<!-- TMPL_VAR NAME="B_country" -->" name="B_country" /></li>
+<li><label for="B_phone">Phone:</label> <input type="text" id="B_phone" value="<!-- TMPL_VAR NAME="B_phone" -->" name="B_phone" /></li>
+<li><label for="B_email">Email:</label> <input type="text" id="B_email" value="<!-- TMPL_VAR NAME="B_email" -->" name="B_email" /></li>
</ol>
</fieldset>
<fieldset class="brief">