{{ profile.first_name }} {{ profile.last_name }}
{{ profile.email }}
{{ profile.laboratory }}
{{ profile.company }}
{{ profile.address_1 }}
{% if profile.address_2 %} {{ profile.address_2 }}
{% endif %} {{ profile.city }}, {{ profile.state }} {{ profile.zipcode }}
{{ profile.country.display_name }}
P: {{ profile.phone }}
{% if profile.ap_email %} Accounts Payable Email: {{profile.ap_email}} {% endif %}
Send back processed blocks/slides?: {{ "Yes" if profile.sample_return_requested else "No" }}
Generate Fedex shipping label?: {{ "Yes" if profile.generate_shipping_label else "No" }}
Fedex/UPS Shipping #: {{ profile.shipping_no }}
How did you hear about us? {{profile.get_referer_type_name()}} {% if profile.referer_detail %} ({{profile.referer_detail}}) {% endif %}