Fillable fields on website neeed

I need a simple fillable-fields form with just 12 fields and 5 drop down menus created in a format compatable with MS Publisher for a web site. I need a submit button that will change to "Submitted- thank you" and email a copy to the person and one to our email address. This is a VERY easy task- Isimply dont know how to do it.

Diseño de sitios web

Nº del proyecto: #386491

Sobre el proyecto