Full name: {name}
Company: {company}
Email: {email}
Homepage: {www}
Tel: {telephone}
I am a: {profession}
I live in: {country}
Additional questions or comments {message}
I placed this order at: {time}
My time zone was: {time_zone}
My browser language was: {browser_language}
I was using the {form_language} page.
Link to order: {link_second_step}

Happy selling!