<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
	<% base_tag %>
</head>
<body>

<div class="body">
Contact Submission
<% if Data %>
<table cellspacing="5" cellpadding="0" border="0" width="400">
<% loop Data %>    
    <tr>
    	<td width="150">First Name:</td>
    	<td width="250">$FirstName</td>
     </tr>
     <tr>
    	<td>Last Name:</td>
    	<td>$LastName</td>
     </tr>
     <tr>
    	<td>Email:</td>
    	<td>$Email</td>
     </tr> 
      <% if SubmissionType %>
    	<td>Submission Type:</td>
    	<td>$SubmissionType</td>
     </tr>     
    
    <% end_if %>
     
    <% if Comment %>
    <tr>
    	<td>Comment:</td>
    	<td>$Comment</td>
     </tr>     
    
    <% end_if %>
    
    <% if Company %>
    <tr>
    	<td>Company:</td>
    	<td>$Company</td>
     </tr>     
    
    <% end_if %>
    <% if Phone %>
    <tr>
    	<td>Phone:</td>
    	<td>$Phone</td>
     </tr>     
    
    <% end_if %>
     
     <% if Address_1 %>
    <tr>
    	<td>Address:</td>
    	<td>$Address_1</td>
     </tr>     
    
    <% end_if %>
    
      <% if Address_2 %>
    <tr>
    	<td>Address:</td>
    	<td>$Address_2</td>
     </tr>     
    
    <% end_if %>
    
   <% if City %>
    <tr>
    	<td>City:</td>
    	<td>$City</td>
     </tr>     
    
    <% end_if %>
    
    <% if State %>
    <tr>
    	<td>State:</td>
    	<td>$State</td>
     </tr>     
    
    <% end_if %>
    
    <% if Zip %>
    <tr>
    	<td>Zip:</td>
    	<td>$Zip</td>
     </tr>     
    
    <% end_if %>
    
    
    <% if Samples %>
    <tr>
    	<td>Samples:</td>
    	<td>$Samples</td>
     </tr>     
    
    <% end_if %>
    
    <% if ContactOptions %>
     <% loop ContactOptions %>  
       <% if emailOption %>   
        <tr>
           <td>Email Option:</td>
           <td>$emailOption</td>
        </tr> 
        <% end_if %>
        <% if phoneOption %>   
        <tr>
           <td>Phone Option:</td>
           <td>$phoneOption</td>
        </tr> 
        <% end_if %> 
    <% end_loop %>
    <% end_if %>
    
    <% if Materials %>

    
    <tr>
    	<td>Materials:</td>
    	<td>$Materials</td>
     </tr>     

    <% end_if %>
    

    <% if eBlastOption %>   
        <tr>
           <td>eBlast Option:</td>
           <td>$eBlastOption</td>
        </tr> 
        <% end_if %>
        <% if newsletterOption %>   
        <tr>
           <td>Newsletter Option:</td>
           <td>$newsletterOption</td>
        </tr> 
        <% end_if %>

			 <% if ExistingCustomer %>   
        <tr>
           <td>Existing Customer:</td>
           <td>$ExistingCustomer</td>
        </tr> 
        <% end_if %> 
			
<% end_loop %>
</table>
<% end_if %>

</div>

</body>
</html>
