From: "$name" <$email>To: Subject: WTB SurveySubmitted: $TIMEName: $nameEmail: $emailStreet: $x13locCity: $x13loc1State: $x13loc2Country: $x13loc3Zip: $x13loc4Phone: $x14ph1 $x14ph2 - $x14ph3WTB BACKGROUNDCurrently play: Comment: # Years: Comment: Lessons: Comment: Instruments: Comment: 1st heard: 1st Impression:1st played:1st Thoughts:Influence: