A basic html form that can be used with the cgiemail script.
<form method=POST action="/cgi-bin/cgiemail/mail.txt">
<INPUT TYPE=HIDDEN VALUE="http://put-your-domain-here.com/thanks.html" name="success">
<INPUT TYPE=HIDDEN VALUE="sales@example.com" name="required-to">
<INPUT TYPE=HIDDEN VALUE="CGIEMAIL EXAMPLE SUBJECT" name="subject">
Company Name<br><br>
<input type=text size=60 name="company" value=""><br><br>
Email address<br><br>
<input type=text size=60 name="email" value=""><br><br>
Phone<br><br>
<input type=text size=60 name="phone" value=""><br><br>
<input type=submit value="SUBMIT">
</form>