http://php.flashwebhost.com/stefin/contact.php

Code:
<?php


if (isset($_POST['submit'])) {
   $fromEmail = $_POST['fromEmail'];
    $body = $_POST['body'];
    mail('[email protected]','Message from web site', $body,
'From: ' . $fromEmail . "\n\r");
    echo 'Thank you for contacting us.';
} else {


echo
 
'<!doctype html>
<html lang="en">
<head>
<meta charset="UTF-8">  
<title>Contact Us</title>
</head>
<body>
<form action="contact.php" method="POST">  
Email<br>    <input type="text" name="fromEmail"><br>   
Message<br>  <textarea name="body" cols="30" rows="10"></textarea>  
<br>    <button type="submit" name="submit" value="submit">Send Mail</button></form>
</body></html>  
';}