Information Needed For SSL Certificate - CSR Print

We need the following information to generate a Certificate Signing Request (CSR): For the SSL Cert.

Hostname: (this is your domain name with or without the www, the ssl will only work one way or the other.)
Email:
Street Address:
Country (2 letter abbrev):
State (no abbrev):
City:
Postal Code:
Company:
Division:
Password (of your choosing):