{{template config_path="design/email/header_template"}}
{{trans "First Name"}} {{var data.first_name}}
{{trans "Last Name"}} {{var data.last_name}}
{{trans "Email"}} {{var data.email}}
{{trans "Phone"}} {{var data.telephone}}
{{trans "Region"}} {{var data.region}}
{{trans "Store"}} {{var data.store_name}}

{{trans "Message"}}

{{var data.comment}}

{{template config_path="design/email/footer_template"}}