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Modifying order form

I am trying to modify the order form I found [URL=http://javascript.internet.com/forms/confirm-order-thanks.html]here[/URL]
I have managed to successfully impliment it into my website. Basically it sens the information from the order form to my email address.
However the way in which I need to modify it is to include the sending of input text boxes to my email address along with server type info. More clearly shown on my webpage- [url]http://www.esabre.co.uk/gameservers.html[/url]

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