#parse('incl/header.incl')

Please review your profile and update as needed:

#set($title = "0") #if($record.customer_title_id) #set($title = $record.customer_title_id) #end
#set($country = '12') #if($record.country_id) #set($country = $record.country_id) #end
#set($state = '') #if($record.customer_state) #set($state = $record.customer_state) #end
#if($error)
$error
#end

#parse('incl/footer.incl')