19370 Fourms (script editting html)

Hi, all i want is some one to finish this form for me (ie just put in something so some one clicks submit it sends the form to my email address ,i alredy have the script you can very it here [login to view URL] or here is the script in html THE ACTUAL SCRIPT I WANT U TO EDIT IS IN THE ATTACHMENTS IS should be very easy to do.,it is currently using a freewebs form fowarder but that costs to much, i think u can do it free