330891 program a simple email form

Hi, I need a form built. Here are the details: - form will use my baisc design template - I have a page that is already designed showing almost all of the form fields, so you will be able to copy & paste most of the code easily. - will be locked and only accessible to logged in members - will email the submitted data from the form to my email address - will show the members name and email address Thanks, noah