All you need to do is use Plusnet form and this will email the results to you
Copy this code change the bit that say youremailaddress and put your own email address.
change the from my website to anything you want this is the message subject.
You can add more inputs with any web editor
<form method="post" action="http://homepages.plus.net/cgi-bin/form">
<p>
<input type="hidden" name="recipient" value="
youremailaddress" />
<input type="hidden" name="subject" value="From my website" />
<b>Enter Your Email Address</b>
<input type="text" name="email" />
<input type="hidden" name="realname" />
</p>
<p><b>Please enter your comments or message here</b></p>
<p>
<textarea rows="20" cols="50" name="text area">
</textarea>
</p>
<p></p>
<input name="submit0" type="submit" value="Submit form" />
<input name="reset" type="reset" value="Clear form" />
</form>
