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examples/16_form_submission.txt

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+REGISTRATION FORM SUBMISSION:
+- First Name: Patricia
+- Last Name: Robinson
+- Date of Birth: 06/25/1988
+- Social Security: 222-33-4444
+- Email: patricia.r@emailprovider.com
+- Phone: (424) 555-6789
+- Address Line 1: 789 Sunset Boulevard
+- Address Line 2: Suite 456
+- City: Los Angeles
+- State: CA
+- ZIP: 90028
+- Emergency Contact Name: Robert Robinson
+- Emergency Contact Phone: 424-555-9876
+- Insurance Provider: HealthCare Plus
+- Policy Number: HCP-123456789
+- Group Number: GRP-456