Personal information:
---------------------
First Name: goro
Last Name: wiggs
Phone: 905 555 5555
Fax: E-Mail: infrormal@goors.nz
Web site:

Billing Address:
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First Name: goro
Last Name: wiggs
Address: 12 oak st
City: oakvile
Province: Ontario
Country: Canada
Postal Code: l2t3r4

Shipping Address:
-----------------
First Name: goro
Last Name: wiggs
Address: 12 oak st
City: oakvile
Province: Ontario
Country: Canada
Postal Code: l2t3r4

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Credit card information
Credit card type	*	MasterCard Visa
Cardholder's name	*
Credit card number (no spaces or dashes)	*
Valid from (MMYY)				(if not present, leave blank)
Expiration date (MMYY)	*
CVV2	*
Issue No.				(if not present, leave blank)

Notes
Customer notes:

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