| Name | Description | Type | Additional information |
|---|---|---|---|
| Name | string |
None. |
|
| Street1 | string |
None. |
|
| Street2 | string |
None. |
|
| City | string |
None. |
|
| State | string |
None. |
|
| PostalCode | string |
None. |
|
| Country | string |
None. |
|
| Phone | string |
None. |
|
| Fax | string |
None. |