First Name : {fname} 
Last Name : {lname} 
Country : {country} 
State : {state} 
City : {city} 
Street1 : {street1} 
Street2 : {street2}
Zip/Postal Code : {zip} 
Phone : {phone} 
E-Mail : {email} 
 
Unit purchased : {unit} 
Date of purchase : {date} 
Purchased from what store : {store}