web form - half done

[Reece_Neumann]

Like this from zymic.com ...

<?php

$youremail = "[email protected]";
// your email address

$subject = "Contact";
// the subject of the email

$thankyou = "thankyou.php";
// thank you page

// don't change anything else

if($email == ""){
?>
<style type="text/css">
<!--
.style1 {font-size: 12px}
-->
</style>

No email address was given. Please go back and try again.<br/>
<?php
}elseif($name == ""){
?>
No name was given. Please go back and try again.<br/>
<?php
}elseif($message == ""){
?>
No message was added. Please go back and try again.<br/>
<?php
}else{

$msg = ereg_replace("\\\'", "'", $message);
$msg = ereg_replace('\\\"', "\"", $msg);
$message1 = "from: $name\nemail: $email\nmessage:\n$msg1";

mail($youremail, $subject, $msg, "From: $email\r\nReply-to: $email\r\n");
?>
<meta http-equiv="refresh" content="0; url=<?echo $thankyou;?>"">
<?php
}
?>

I need someone to make a php file like this, which will send me web form to my email address. It is basicly that, but with more text fields and 1 circle check box.

If you can make me one, pm me. I will send you the form.