
<p><img src="http://www.epm-music.com/components/com_fabrik/plugins/form/fabrikemail/tmpl/ffheader.jpg" /> </p>
<div style="font-family:Arial, Helvetica, sans-serif;"><font size="2">
<table width="600" style="border:solid 1px #999999" cellpadding="0" cellspacing="10">
 <tr>
    <td height="30" colspan="2" align="right" valign="top">   	 <div style="color: #999999;font:Arial, Helvetica, sans-serif;"><font size="1"><?php echo $_REQUEST['Feedback_Form___time_date'];?> | Record id: <?php echo $_REQUEST['Feedback_Form___fabrik_internal_id'];?></font></div></td>
  </tr>  <tr>
    <td width="222" height="30" align="left" valign="top">Name:</td>
    <td width="346" height="30" align="left" valign="top"><?php echo $_REQUEST['Feedback_Form___name'];?> </td>
  </tr>
  <tr>
    <td width="222" height="30" align="left" valign="top">Email:</td>
    <td height="30" align="left" valign="top"><?php echo $_REQUEST['Feedback_Form___email'];?></td>
  </tr>
  <tr>
    <td width="222" height="30" align="left" valign="top">Release Artist:</td>
    <td height="30" align="left" valign="top"><?php echo $_REQUEST['Feedback_Form___release_artist'];?></td>
  </tr>
  <tr>
    <td width="222" height="30" align="left" valign="top">Release Title:</td>
    <td height="30" align="left" valign="top"><?php echo $_REQUEST['Feedback_Form___release_title'];?></td>
  </tr>
  <tr>
    <td width="222" height="30" align="left" valign="top">Release Catalog Number:</td>
    <td height="30" align="left" valign="top"><?php echo $_REQUEST['Feedback_Form___release_catalog_number'];?></td>
  </tr>
  <tr>
    <td width="222" height="30" align="left" valign="top">Rating:</td>
    <td height="30" align="left" valign="top"><?php echo $_REQUEST['Feedback_Form___rating'][0];?></td>
  </tr>
  <tr>
    <td width="222" height="30" align="left" valign="top">Comments:</td>
    <td height="30" align="left" valign="top"><?php echo $_REQUEST['Feedback_Form___your_comments'];?></td>
  </tr>
 
</table>
</font></div>