To: datingapplication@edcint.co.nz
From: [re_emailaddress]
Subject: Dating Application from [r_applicantname]

r_applicantname=[r_applicantname]

re_emailaddress=[re_emailaddress]

r_address=[r_address]

r_phone1=[r_phone1]

r_phone2=[r_phone2]

r_dateofbirth=[r_dateofbirth]

r_weight=[r_weight]

r_datee=[r_datee]

r_driverslicense=[r_driverslicense]

r_church=[r_church]

r_churchattendance=[r_churchattendance]

r_selfratedlooks=[r_selfratedlooks]

r_parentelintroduction=[r_parentelintroduction]

r_ownavan=[r_ownavan]

r_ownaboyracercar=[r_ownaboyracercar]

r_ownawaterbed=[r_ownawaterbed]

r_havetattoo=[r_havetattoo]

r_havemetal=[r_havemetal]

r_vaccinationsuptodate=[r_vaccinationsuptodate]

r_fathersname=[r_fathersname]

r_fathersaddress=[r_fathersaddress]

r_fathersphone=[r_fathersphone]

r_fatherstimetocontact=[r_fatherstimetocontact]

r_Mothersname=[r_Mothersname]

r_Mothersaddress=[r_Mothersaddress]

r_Mothersphone=[r_Mothersphone]

r_Motherstimetocontact=[r_Motherstimetocontact]

r_Doctorsname=[r_Doctorsname]

r_Doctorsaddress=[r_Doctorsaddress]

r_Doctorsphone=[r_Doctorsphone]

r_Doctorstimetocontact=[r_Doctorstimetocontact]

r_Employersname=[r_Employersname]

r_Employersaddress=[r_Employersaddress]

r_Employersphone=[r_Employersphone]

r_Employerstimetocontact=[r_Employerstimetocontact]

r_Lawyersname=[r_Lawyersname]

r_Lawyersaddress=[r_Lawyersaddress]

r_Lawyersphone=[r_Lawyersphone]

r_Lawyerstimetocontact=[r_Lawyerstimetocontact]

r_Accountantsname=[r_Accountantsname]

r_Accountantsaddress=[r_Accountantsaddress]

r_Accountantsphone=[r_Accountantsphone]

r_Accountantstimetocontact=[r_Accountantstimetocontact]

r_Personalsname=[r_Personalsname]

r_Personalsaddress=[r_Personalsaddress]

r_Personalsphone=[r_Personalsphone]

r_Personalstimetocontact=[r_Personalstimetocontact]

r_placewoundedifshot=[r_placewoundedifshot]

r_lastboneifbeaten=[r_lastboneifbeaten]

r_womansplace=[r_womansplace]

r_onething=[r_onething]

r_firstthingnoticed=[r_firstthingnoticed]

r_wanttobe=[r_wanttobe]

r_favalcohol=[r_favalcohol]

r_favcigarette=[r_favcigarette]

r_favrecdrug=[r_favrecdrug]

r_essay_late=[r_essay_late]

r_essay_abstinence=[r_essay_abstinence]

r_essay_no=[r_essay_no]

r_essay_donttouch=[r_essay_donttouch]

r_essay_intentions=[r_essay_intentions]

r_stillinterested=[r_stillinterested]

r_stillinterested=[r_stillinterested]

r_stillinterested=[r_stillinterested]


Q SECTION

q1=[q1]
q2=[q2]
q3=[q3]
q4=[q4]
q5=[q5]
q6=[q6]
q7=[q7]
q8=[q8]
q9=[q9]
q10=[q10]
q11=[q11]
q12=[q12]
q13=[q13]
q14=[q14]
q15=[q15]
q16=[q16]
q17=[q17]
q18=[q18]
q19=[q19]
q20=[q20]
q21=[q21]
q22=[q22]
q23=[q23]
q24=[q24]
q25=[q25]
q26=[q26]
q27=[q27]
q28=[q28]
q29=[q29]
q30=[q30]
q31=[q31]
q32=[q32]
q33=[q33]
q34=[q34]
q35=[q35]
q36=[q36]
q37=[q37]
q38=[q38]
q39=[q39]
q40=[q40]
q41=[q41]
q42=[q42]
q43=[q43]
q44=[q44]
q45=[q45]
q46=[q46]
q47=[q47]
q48=[q48]
q49=[q49]
q50=[q50]
q51=[q51]
q52=[q52]
q53=[q53]
q54=[q54]
q55=[q55]
q56=[q56]
q57=[q57]
q58=[q58]
q59=[q59]
q60=[q60]
q61=[q61]
q62=[q62]
q63=[q63]
q64=[q64]
q65=[q65]
q66=[q66]
q67=[q67]
q68=[q68]
q69=[q69]
q70=[q70]
q71=[q71]
q72=[q72]
q73=[q73]
q74=[q74]
q75=[q75]
q76=[q76]
q77=[q77]
q78=[q78]
q79=[q79]
q80=[q80]
q81=[q81]
q82=[q82]
q83=[q83]
q84=[q84]
q85=[q85]
q86=[q86]
q87=[q87]
q88=[q88]
q89=[q89]
q90=[q90]
q91=[q91]
q92=[q92]
q93=[q93]
q94=[q94]
q95=[q95]
q96=[q96]
q97=[q97]
q98=[q98]
q99=[q99]
q100=[q100]
q101=[q101]
q102=[q102]
q103=[q103]
q104=[q104]
q105=[q105]
q106=[q106]
q107=[q107]
q108=[q108]
q109=[q109]
q110=[q110]

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