Please help with some simple HTML Form code

Use something like this as your php script to send to:

<?php
if(!$visitormail == "" && (!strstr($visitormail,"@") || !strstr($visitormail,".")))
{
echo "<h2>Use Back - Enter valid e-mail</h2>\n";
$badinput = "<h2>Feedback was NOT submitted</h2>\n";
echo $badinput;
}
if(empty($visitor) || empty($visitormail) || empty($notes )) {
echo "<h2>Use Back - fill in all fields</h2>\n";
}

$todayis = date("l, F j, Y, g:i a") ;

$attn = $attn ;
$subject = "Newsletter request";

$notes = stripcslashes($notes);

$message = " $todayis [EST] \n
Attention: $attn \n
Message: $notes \n
From: $visitor ($visitormail)\n
Additional Info : IP = $ip \n
Browser Info: $httpagent \n
Referral : $httpref \n
Email: ".$_POST['email']
";

$from = "From: $visitormail\r\n";


mail("YourEmail", $subject, $message, $from);

?>

Save the code as subscribe.php and change the line of HTML mentioned above to:

<form method='post' action='subscribe.php'>

Not tested it, but hopefully that will work.