Dear name ,

Thank you for sending us your request for quote on a type . We will be using the following information to contact you:

Name:              name
E-mail:             e_address
Address:           mailing  
City:                  city
State/Province:  state
Postal Code:     zip

If any of this information is incorrect, please go back to the feedback form and change it. We thank you for taking the time to help us be a better company.

Sincerely,

Bill