From: [EMAIL_ADDRESS]
To: myname@fortnet.org
Subject: Address Form
Errors-To: myname@fortnet.org

 Name: [required-CUSTOMER_NAME]
 Addr: [CUSTOMER_ADDR]
 City: [CUSTOMER_CITY]
State: [CUSTOMER_STATE]
 Post: [CUSTOMER_ZIP]
Cntry: [CUSTOMER_CNTRY]
Phone: [CUSTOMER_PHONE]
  FAX: [FAX_NUMBER]
email: [required-EMAIL_ADDRESS]