LastName, FirstName  Home <hm phone>   field <value>
Address1             Work <wk phone>   field <value>
Address2                               field <value>
City, State, zip     field <value> field <value>           

field <value>      field <value>        field <value>
field <value>      field <value>        field <value>
field <value>      field <value>        field <value>

...etc...