8465 simple lead generatoin form

i need a simple order form for my website. The form does not need to be secure as the information does not have to be stored on a database. I do not need a login either. The form that I need only needs two actions. 1. Type information in the form. a. upon completion, press submit and the form is displayed for printing on 1 page 2. email to: b. on the second page, an option should appear that allows me to email the lead info to another client. Page 1: input page with a submit button Page 2: carries information from page 1 with two buttons, email to and print. I need the form installed on my server and working properly. the page should have a url of [login to view URL] see attached word for info needed on the form. slight modifications to follow. If you have any suggesstions please let me know.