istediğin gibi bir form
<form action="formsayfanınadresi" method="post">
<table width="355" border="0" align="center" cellspacing="1" height="83">
<tr>
<td width="326" height="36"><font face="Verdana" size="2">isim soyad</font></td>
<td width="475" height="36"><input name="isim" type="text" size="36"></td>
</tr>
<tr>
<td width="326" height="36"><font face="Verdana" size="2">telefon</font></td>
<td width="475" height="36">
<input name="telefon" type="text" size="36"></td>
</tr>
<tr>
<td width="326" height="36"><font face="Verdana" size="2">e-posta</font></b></td>
<td width="475" height="36">
<input name="eposta" type="text" size="36"></td>
</tr>
<tr>
<td width="326" height="36"><font face="Verdana" size="2">konu</font></td>
<td width="475" height="36">
<select name="konu">
<option value="530">istek/öneri</option>
<option value="532">şikayet</option>
<option value="533">reklam</option>
<option value="535">diğer</option>
</select>
</td>
</tr>
<tr>
<td width="326" height="1"><font face="Verdana" size="2">mesaj</font></td>
<td width="475" height="2" rowspan="2">
<textarea name="mesaj" cols="30" rows="3"></textarea>
</td>
</tr>
<tr>
<td width="326" height="45">&nbsp;</td>
</tr>
<tr>
<td width="326" height="36" align="center">&nbsp;</td>
<td width="475" height="36" align="center"><input type="submit" value="Gönder">
<input type="reset" value="Temizle"></td>
</tr>
</table>
</form>