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

Name: <input type="text" name="name" size="20" /><br />
Subject: <input type="text" name="subject" size="20" /><br />
Message:<br /><textarea name="message" rows="12" cols="55"></textarea><br />
Your email address: <input type="text" name="emailAddress" size="20" /><br />
<input type="submit" value="Send" />

</form>