From: [email]  ([name])
To: [required-to]
Reply-to:[email]  ([name])
Subject: [subject]


Name: [name]
Address: [street]
City: [city]
State: [state]   Zip: [zip]
Phone: [phone]
E-mail:[email]
Rank: [rank]
Ship: [ship]
Organization: [org]
==========================================================================
Membership:
[membership]

==========================================================================
Captain's Call:
[captaincall]

==========================================================================

Saturday Formal Banquet:
[number2]
[amount]
==========================================================================
Mousepads:
[mouse]

==========================================================================

Enamel Logo Pin:
[pin]

==========================================================================
T-Shirts:
[shirt]
[moreshirt]

===========================================================================
Payment Information:
[type]

===========================================================================
Comments:
[comments]