Tmail: 1.0
To: username
Subject: Example tmail form

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Referring page: [%HTTP_REFERER]
Remote address: [%REMOTE_ADDR]
  Browser name: [%HTTP_USER_AGENT] under [%HTTP_UA_OS]

   Name: [Name]
Address: [Address]
         [CityState] [ZipCode]
  Phone: [Phone]
 E-mail: [Email]

This person has a [Belly_Button] belly button.

In addition, they checked the following:
Nearsighted: [Nearsighted]
Righthanded: [Righthanded]
   Reckless: [Reckless]
  Wreckless: [Wreckless]
         
Their favorite flavor is [Flavor].

They had the following comments:
[Comments]

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