Here is a simple form with no headings or anything, just input boxes/selections.. you have that figured out already, so no problem there..
notice in the first line the action argument.. this calls another file named success.php, this is a simple page with the php code to send an Email... simply put all the variables you have created in your form (subject, app_date, time, ampm are examples in this code) into the php mail() function. I included the php code at the bottom of this post.
<form name="feedback" method="POST" action="success.php">
<select name="subject" size="1">
<option selected value="Appointment">Appointment</option>
<option value="Services">Services</option>
<option value="Website">Web Site</option>
<option value="Other">(Other)</option>
</select>
<input type="text" size="26" maxlength="256" name="SubjectOther">
<input type="text" name="app_date" size="12">
<input type="text" name="time" size="8">
<select size="1" name="ampm">
<option selected>AM</option>
<option>PM</option>
</select>
<input type="submit" value="Submit Comments">
<input type="reset" value="Clear Form"></p>
THESE LAST TWO LINES ARE THE SUBMIT AND RESET BUTTONS
HERE IS THE PHP syntax
<?php
mail("
[email protected]","subject line here","body of message here");
?>
again you can use all the variable you made in your form as part of your "body of mesage", just remember to put a $ in front of the variable when using it in php code.