<table width="800" border="0">
  <tbody>
    <tr>
      <td> Customer/Company: </td>
      <td>[text* CustomerCompany]</td>
    </tr>
    <tr>
      <td>Contact Name: </td>
      <td>[text* ContactName]</td>
    </tr>
    <tr>
      <td>Phone Number:  </td>
      <td>[tel* Phonenumber]</td>
    </tr>
    <tr>
      <td>Postcode:</td>
      <td>  [text* Postcode]</td>
    </tr>
    
    <tr>
      <td>Email:</td>
      <td> [email* Email]</td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td>Machine Model:</td>
      <td>[text MachineModel1]</td>
    </tr>
    <tr>
      <td>Location:  </td>
      <td>[text Location1]</td>
    </tr>
    <tr>
      <td>Toner/Consumables:</td>
      <td>[text TonerConsumables1]</td>
    </tr>
    <tr>
      <td>Toner/Consumables:</td>
      <td>[text TonerConsumables2]</td>
    </tr>
    <tr>
      <td>Toner/Consumables:</td>
      <td>[text TonerConsumables3]</td>
    </tr>
     <tr>
      <td>&nbsp;</td>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td>Machine Model:</td>
      <td>[text MachineModel2]</td>
    </tr>
    <tr>
      <td>Location:  </td>
      <td>[text Location2]</td>
    </tr>
    <tr>
      <td>Toner/Consumables:</td>
      <td>[text TonerConsumables4]</td>
    </tr>
    <tr>
      <td>Toner/Consumables:</td>
      <td>[text TonerConsumables5]</td>
    </tr>
    <tr>
      <td>Toner/Consumables:</td>
      <td>[text TonerConsumables6]</td>
    </tr>
    <tr>
      <td>&nbsp;</td>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td>Machine Model:</td>
      <td>[text MachineModel3]</td>
    </tr>
    <tr>
      <td>Location:  </td>
      <td>[text Location3]</td>
    </tr>
    <tr>
      <td>Toner/Consumables:</td>
      <td>[text TonerConsumables7]</td>
    </tr>
    <tr>
      <td>Toner/Consumables:</td>
      <td>[text TonerConsumables8]</td>
    </tr>
    <tr>
      <td>Toner/Consumables:</td>
      <td>[text TonerConsumables9]</td>
    </tr>
    
    <tr>
      <td width="350">&nbsp;</td>
      <td>[submit "Send"] </td>
    </tr>
  </tbody>
</table>