Copy Paste to another sheet with conditions

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Monday November 20, 2017
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November 20, 2017
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Dear all,

I wanted to copy all the data inside this "form" through the button "send".
As you can see I also have two list boxes and I only want to copy the selected text. As for the checkboxes I only want to copy the ones that are ticked.

I want to copy all the above mentioned data to another sheet and receive a "success" message. It would be great if I managed to clear all the cells after the copy paste action.

I'm struggling to do it, so any help would be highly appreciated!

Thank you in advance!

Joana