<%name%>
-<%addr1%>
+<%address1%>
-<%addr2%>
+<%if address2%>
+<%address2%>
+<%end address2%>
-<%addr3%>
+<%city%> <%state%> <%zipcode%>
-<%addr4%>
+<%if country%>
+<%country%>
+<%end country%>
\vspace{3.5cm}
\hfill
\begin{tabular}[t]{l@{\hspace{0.3cm}}l}
\textbf{Date} & <%orddate%> \\
+<%if reqdate%>
+ \textbf{Required by} & <%reqdate%> \\
+<%end reqdate%>
\textbf{Number} & <%ordnumber%>
\end{tabular}