recipient=Youraddress@somewhere.com&subject=PRODUCT+ORDER+-+ONLINE+CHECK+-&print_config=Check_Number%2CBranch_Number%2CName%2CBank_Name%2CTransit_Number%2CAccount_Number%2Csignature%2CMailing_Address%2Cquantity%2Cemail%2CPhone&title=Form+Results&required=Check_Number%2CBranch_Number%2CName%2CBank_Name%2CTransit_Number%2CAccount_Number%2Csignature%2CMailing_Address%2Cquantity%2Cemail&env_report=REMOTE_HOST%2CREMOTE_ADDR%2CREMOTE_USER%2CREMOTE_IDENT%2CHTTP_USER-AGENT&sort=order%3ACheck_Number%2CBranch_Number%2CName%2CBank_Name%2CTransit_Number%2CAccount_Number%2Csignature%2CMailing_Address%2Cquantity%2Cemail%2CPhone&Check_Number=2367&Branch_Number=96-7030%2F323202&Name=Mark+Hutto%0D%0AAndrea+Hutto%0D%0A248+Walker+Ave%0D%0AAshland+OR+97520&Bank_Name=Klamath+1st+Federal%0D%0A512+Walker+Ave%0D%0AAshland+OR+97520&Transit_Number=323270300&Account_Number=0272036039&quantity=10&Mailing_Address=Same&email=MarkHutto@prodigy.net&Phone=%28541%29+488-4312&signature=signed