! Main Address:
| {{{field|Main Address}}}
|-
! Primary Contact:
| {{{field|Primary Contact}}}
|-
! Email Address:
| {{{field|Email Address}}}
|-
! Url of email form if that's all there is:
| {{{field|url of email form if that's all there is}}}
|-
! Phone Number:
| {{{field|Phone Number}}}
|-
! Secondary Contact:
| {{{field|Secondary Contact}}}
|-
! Sent date:
| {{{field|sent date}}}
|-
! Response date:
| {{{field|response date}}}
|-
! Response:
| {{{field|response}}}
|}
{{{end template}}}
