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Select records email with a form please ?!

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I need help with emailing selected records. i understand that you can select records and send them and this works great. I need this same function but able to have the app user / end user enter their contact information and send the records to a hard coded email address. The user also needs to be able to add comments in a field such as notes. The end result is the email should contain a copy of the selected records , a form for the user to add their contact information with the send to address already filled out a button to send and a confirmation email back to the user stating requests submitted. Please and thank you.

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