---------------------------- Contact_Name: Ben Cochrane Clinic_Name: Bens Clinic Billing_Address: 10728 - 56 Ave Street_Address: 10729 - 104 Ave ...... ------------------------------- #### --------------------------------- %wrvars = { "CONTACT_NAME" => "", "CURRENT_DATE" => "", "CLINIC_NAME" => "", "CONTACT_NAME" => "", "CITY" => "", .... --------------------------------- #### ---------------------------------- %wrvars = { "CONTACT_NAME" => "Ben Cochrane", "CURRENT_DATE" => "Ben's Clinic", ... ----------------------------------