I suggest using a script called Form Tools (http://www.formtools.org/) to set this up. It doesn't write the page code for you (that's not hard to do), but it will handle the processing of all the information and send out email if you want and it will store the forms in a database for easy retrieval, export as an Excel record and for formatted printing of all or selected records. Requires PHP and a MySQL database, but it's easy to install and easy to use and makes managing the data very easy.