<%= form.hidden_field :name %> <%= form.hidden_field :company %> <%= form.hidden_field :address1 %> <%= form.hidden_field :address2 %> <%= form.hidden_field :city %> <%= form.hidden_field :country_id %> <%= form.hidden_field :state_id %> <%= form.hidden_field :state_name %> <%= form.hidden_field :zipcode %> <%= form.hidden_field :phone %> <%= form.hidden_field :alternative_phone %>