To: anyone@newmillsmarine.com
From: [re_email]
Subject: My favourite colour is [r_colour]!

My Age:    [rd_age]
My Email:  [re_email]
My Colour: [r_colour]

In five years I'll be [< 5 + [rd_age] >]!

I submitted the form on [%HTTP_REFERER]. My IP address is [%REMOTE_ADDR].