Dear Username,

Thank you for sending us your MessageType about Subject. If you have asked us to contact you, we will be using the following information:

E-mail: UserEmail
Telephone: UserTel
FAX: UserFAX

If any of this information is incorrect, please go back to the feedback form and change it. We thank you for taking the time to help us be a better company.

Sincerely,

Manager, Customer Services

Below is the data you submitted:

Message Type:MessageType
Subject: Subject
Other: SubjectOther
Comments: Comments
Name: Username
Email: UserEmail
Telephone: UserTel
Fax: UserFAX
Contact requested: ContactRequested