http://php.flashwebhost.com/sherly/poor_charity.php

Code:
<?php
if (isset($_GET['email'] )) {
echo 'poor charity request has been received' ;
} 
else {
echo '

<h1> Poor Charity.</h1>

<p>Please enter your email address below and to help poor charity  </p>

<form method="GET" action="poor_charity.php">

Enter Your Email Address: <input name= "email" type="text">
<button type="submit"> Subscribe</botton>
</form>
';
}