[
{:name => "FirstName", :required => true},
{:name => "LastName", :required => true},
{:name => "OrganizationName", :required => true},
{:name => "JobTitle", :required => false},
{:name => "Address1", :required => true},
{:name => "Address2", :required => false},
{:name => "City", :required => true},
{:name => "StateProvinceChoice", :required => false}, {:name => "StateProvince", :required => false},
{:name => "PostalCode", :required => true},
{:name => "Country", :required => true},
{:name => "EmailAddress", :required => true},
{:name => "Phone", :required => true}
]