<col style="width: 3%" />
				<col style="width: 20%" />
				<col style="width: 23%" />
			</colgroup>
			<tbody>
		       	<tr>
		       		<td>&nbsp;</td>
				    <td><label for="address_l1" class="form-required">Address Line 1:</label></td>
				    <td><input id="address_l1" name="address_l1" value="<?php 
echo $OBSERVERSHIP->getAddressLine1();
?>
"></td>
					<td>&nbsp;</td>
				   	<td><label for="phone">Phone:</label></td>
				    <td><input id="phone" name="phone" value="<?php 
echo $OBSERVERSHIP->getPhone();
?>
"></td>
		       	</tr>
		       	<tr>
		       		<td>&nbsp;</td>
				    <td><label for="address_l2" class="form-nrequired">Address Line 2:</label></td>
				    <td><input id="address_l2" name="address_l2" value="<?php 
echo $OBSERVERSHIP->getAddressLine2();
?>
"></td>
					<td>&nbsp;</td>
				    <td><label for="fax">Fax:</label></td>
				    <td><input id="fax" name="fax" value="<?php 
echo $OBSERVERSHIP->getFax();
?>