#if($subject) Subject: #end

#if($subject) $!subject #end

#if($message)Your message: #end

#if($message)$!message#end

#if($customerno)Customer No.: #end

#if($customer_relationship)Customer relationship #end

Title:
#if($title2) Academic title: #end

#if($customerno)$!customerno #end

#if($customer_relationship)$!customer_relationship #end

#if($title)$!title #end
#if($title2) $!title2 #end

First name:
Surname:

$firstname
$surname

E-Mail:

$email

#if($company) Company: #end
#if($department) Department: #end

#if($company) $!company #end
#if($department) $!department #end

#if($pobox)P.O. Box: #end

#if($zipcode)Postal code: #end
#if($street)Street / No.: #end
#if($city)City/town:#end
#if($country)Country: #end

#if($pobox) $!pobox #end

#if($zipcode) $!zipcode #end
#if($street)$!street #end #if($streetno)$!streetno #end
#if($city) $!city #end
#if($country) $!country #end

#if($telephone)Telephone: #end
#if($mobile)Mobile: #end

#if($telephone) $!telephone $!extension #end
#if($mobile) $!mobile #end

#if($attachment) Attachment: #end

#if($attachment) $!attachment #end