{MOD.LBL_ACCOUNT} {NAME} [ {APP.LNK_HELP} ]
{APP.LBL_REQUIRED_SYMBOL}{APP.NTC_REQUIRED}
{BLOCK1}
{MOD.LBL_ACCOUNT_INFORMATION}

{CUSTOMFIELD}
{BLOCK2}
{MOD.LBL_ADDRESS_INFORMATION}

{BLOCK3}
{MOD.LBL_DESCRIPTION_INFORMATION}
{JAVASCRIPT}