To: outreach@drumcircle.com Cc: [required-email] Subject: [required-lastname], [required-firstname] [required-playshop] From: [FormID] PLAYSHOP ------------------------------ playshop = [required-playshop] CONTACT INFO ----------------------------- first = [required-firstname] last = [required-lastname] gender = [required-gender] busname = [org_business] addr1 = [required-addr1] addr2 = [addr2] city = [required-city] state = [required-state] zip = [required-zip] zipPlus4 = [zip4] country = [country] Replace Address = [ReplaceAddress] phone = [required-phone] Cell = [Cell#] fax = [fax] email = [required-email] profession = [profession] education = [education] lodging = [required-lodge-type] room = [required-roomPref] roommate = [roommate] meals = [required-meal-pref] ADDITIONAL INFO ---------------------------------- special-needs? = [specialneeds] needs-descr = [special-needs] DISCOUNTS --------------------- early = [disc.early] mentor = [disc.mentor2] EDUCATIONAL FEES ------------------------------------- CMT-Credits = [CMT-Credits] CEU-Credits = [CEU-Credits] CMTE-Credits = [CMTE-Credits] NSW-Credits = [NSW-Credits] license-number = [license-number] semester_yn = [semester_yn] OTHER ------------------------------- purpose = [purpose] find-out = [find-out] prev_training = [prev_training] other-trainings = [other-trainings] src = [src] form ID = [FormID] ***** KEEP THIS FOR YOUR RECORDS! ***** We look forward to seeing you at [playshop] If problems arise, please call 831 458-1946 . Thank you for your submission!