Good day! I currently have a few PHP webmail scripts that I could draw on and provide to you in the format you choose. The bid here includes the PHP script, the form itself, and a month of updates to said form, if necessary.
I am a firm believer in communication throughout the term of the project, and can be reached in many ways both during and after the project.
I am looking forward to speaking with you further about this project should you choose to assign me to the task!