PHP Example
Screen shot
Contact us form

<?php
if  (isset($_POST["email"]))
    {
    $to = 'imran.imran.ali8@gmail.com';
    $emailsubject = 'Contact Us Form';
    $mailheader = "From: ".$_POST["email"]."\r\n";
    $message_body = "Name: ".$_POST["name"]."";
    $message_body .= "Mobile: ".$_POST["mobile"]."";
    $message_body .= "Email: ".$_POST["email"]."";
    $message_body .= "Comment: ".nl2br($_POST["comment"])."";
    $msg=mail($to,$emailsubject,$message_body,$mailheader) or die ("Failure");
   
    if($msg)
    echo "<b>";
    echo "Your Query has been successfully submitted.";
    echo "</b>";
}
?>
<html>
<head>
<title>PHP Example</title>
</head>
<body>
<form name="form" action="#" method="post">
<table border="0">
<tr>
<td>Your name:</td>
<td><input name="name" type="text" id="name"></td>
</tr>
<tr>
<td>Mobile No:</td>
<td><input name="mobile" type="text" id="mobile"></td>
</tr>
<td>Email address:</td>
<td><input name="email" type="text" id="email"></td>
</tr>
<tr>
<td>Comment:</td>
<td><textarea name="comment" cols="20" rows="4" id="comment"></textarea></td>
</tr>
<tr>
<td>&nbsp;</td>
<td align="left" valign="top"><input type="submit" name="Submit" value="Send"></td>
</tr>
</table>
</form>
</body>
</html>

You can download source code here