create a form that emails form contents to specific address

Here is my situation:

I would like to create a form that gets published on a non-NetSuite site where our beta testers can submit bugs.  I just want NetSuite to provide the mechanism for displaying and emailng the form, but I do not want the info stored in NetSuite.  This is a seemingly simple task that should not require any scripting, IMO.  I'd like to use an iframe to publish the form on the non-Netsuite based website, which is what we're doing with all our other "contact" type forms (they're all "Online Customer Forms").

I've succesfully created and published an "Online Customer Form" with the desired fields, but I can't figure out how to display all the entered information on the notification email.  The notification email looks like this: