<form method="get" action="mailto:plenopti@plenopticdesign.be">
What is your name?
<BR>
<INPUT NAME="name" VALUE="enter name here" TYPE="text">
<P>
What is your site name?
<BR>
<INPUT NAME="Site Name" VALUE="Young" Type="text" SELECTED>
<br>
<INPUT VALUE="Send" TYPE="submit">
<INPUT VALUE="Clear This Form" TYPE="reset">
</FORM>

<form method="get" action="mailto:plenopti@plenopticdesign.be">

<form method="post" action="makemymail.php">

<INPUT NAME="Site Name" VALUE="Young" Type="text" SELECTED>

<INPUT NAME="Site_Name" VALUE="Young" Type="text" SELECTED>

<?php
/* recipients */
$to  = "your_email@address.here"; /*if you want more then one reciever check the manual at php.net */

/* subject */
$subject = "An afiliat request from $name";

/* message */
$message = "$name has requested to become an afiliat of you site, his/her site is $Site_Name";

/* additional headers */
$headers .= "To: <your_email@address.here>\r\n";
$headers .= "From: $name\r\n";

/* and now mail it */
mail($to, $subject, $message, $headers)
?>

form method="get" action="process.php">
What is your name?
<BR>
<INPUT NAME="name" VALUE="enter name here" TYPE="text">
<P>
What is your site name?
<BR>
<INPUT NAME="site_name" VALUE="Young" Type="text" SELECTED>
<br>
<INPUT VALUE="Send" TYPE="submit">
<INPUT VALUE="Clear This Form" TYPE="reset">
</FORM>

<?php
// The error message if there are one or more fields not filled in
$error = "There are some fields not filled in, <a

href=\"*YOUR WEBSITE*">Click here to go back</a>";

// Let's check if all fields are filled in!
if($name == "" || $site_name == "" ){
// Lets echo that error!;)
echo $error;
}

/*
if after all everything is filled in correct, lets start doing the mailscript...
Edit the variable's below to make them fit your needs
*/
else{
$yourwebsite = "*CHANGE*"; // Your website
$recipientname = "*CHANGE*"; // Whats your name ?!
$subject="*CHANGE*";  // The subject of the mail thats being sended
$recipient="*CHANGE*"; // the recipient

/*
The headers for the e-mail, no need to change it unless you know what you're doing
*/
$header = "From: $nickname <$email>\r\n";
$header .= "MIME-Version: 1.0\r\n";
$header .= "Content-Type: text/html; charset=iso-8859-1\r\n";
$header .= "X-Priority: 3\r\n";
$header .= "X-MSMail-Priority: Normal\r\n";
$header .= "X-Mailer: PHP / ".phpversion()."\r\n";

/*
You can change the text below to whatever you wish to have
for the way the mail is gonne be outputted, you can use HTML!
*/
$content= "
Dear " . $recipientname . "," . $name . " has sent you an e-mail from " . $yourwebsite . ".<br />
<b>Message:</b>
" . $message . "
<hr noshade=\"true\" size=\"1\" color=\"#000000\" />
You can contact " . $name . " back at " . $site_name . ".";

// Lets send the e-mail by using the mail() function, no need to change below...this
// can be edited above!

mail($recipient, $subject, $content, $header);

// Message the user will see if the e-mail is succesfully sended

echo "Thanks! Your comments has been sent succesfully, " . $name . ".";
}
?>