| {APP.LBL_REQUIRED_SYMBOL} {APP.NTC_REQUIRED} | {ADMIN_EDIT}

#### {MOD.LBL_CONTACT_INFORMATION}
{CAMPAIGN_SELECTOR}
{MOD.LBL_LEAD_SOURCE} |  | {MOD.LBL_STATUS} |
{MOD.LBL_LEAD_SOURCE_DESCRIPTION} | {LEAD_SOURCE_DESCRIPTION} | {MOD.LBL_STATUS_DESCRIPTION} | {STATUS_DESCRIPTION}
{MOD.LBL_REFERED_BY} |  |  |
{MOD.LBL_FIRST_NAME} |  | {MOD.LBL_OFFICE_PHONE} |
{MOD.LBL_LAST_NAME} {APP.LBL_REQUIRED_SYMBOL} |  | {MOD.LBL_MOBILE_PHONE} |
|  | {MOD.LBL_HOME_PHONE} |
{MOD.LBL_ACCOUNT_NAME} |  | {MOD.LBL_OTHER_PHONE} |
|  | {MOD.LBL_FAX_PHONE} |
{MOD.LBL_TITLE} |  | {MOD.LBL_EMAIL_ADDRESS} |
{MOD.LBL_DEPARTMENT} |  | {MOD.LBL_OTHER_EMAIL_ADDRESS} |
{MOD.LBL_DO_NOT_CALL} |  | {MOD.LBL_EMAIL_OPT_OUT} |
{APP.LBL_ASSIGNED_TO} |  | {MOD.LBL_INVALID_EMAIL} |

#### {MOD.LBL_ADDRESS_INFORMATION}
{MOD.LBL_PRIMARY_ADDRESS} | {PRIMARY_ADDRESS_STREET} |  | {MOD.LBL_ALTERNATE_ADDRESS} | {ALT_ADDRESS_STREET}
{MOD.LBL_CITY} |  | {MOD.LBL_CITY} |
{MOD.LBL_STATE} |  | {MOD.LBL_STATE} |
{MOD.LBL_POSTAL_CODE} |  | {MOD.LBL_POSTAL_CODE} |
{MOD.LBL_COUNTRY} |  | {MOD.LBL_COUNTRY} |

#### {MOD.LBL_DESCRIPTION_INFORMATION}
{MOD.LBL_DESCRIPTION} | {DESCRIPTION}

{JAVASCRIPT}