Joomla Chrono contact form need modification

Avg Bid (USD)
Project Budget (USD)
$30 - $250

Project Description:
I Have a website running Joomla 2.5.11.
We are using chrono contact as form :

That one is ok, but when you click the send buttom,
It will send an email to the receiver, this email needs to be corrected so informations stands as shown on the attached pdf file, please look on it
At the moment it looks like s...
Dont bid, if you are not able to correct this email which is send out from chrono contacts.
You need to know your html to do this.
As I am short on time, it is important that you can deliver within maximum 3. days
As I also need you to work on further jobs in the future for me, I will not accept milestones on this particular job.
There need to be mutual trust, and Milestones are not mutual trust, if you look for a future job.
The budget is 30$ -

Skills required:
Graphic Design, HTML, Joomla, PHP, Website Design
Additional Files: Rubberduck.pdf
About the employer:
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$ 30
in 2 days
$ 30
in 3 days
$ 30
in 2 days