coder.com
with
CGI.
The code to Mailform is available if you would like to include custom forms with flexible output options on your own server. Please contact quote@coder.com for more information.
If you do not have CGI access on your web-site, become one of the tens of thousands of web-developers using Mailform to implement custom Forms, courtesy Prescient Code Solutions.
A good introduction to CGI Programming is maintained by the NCSA HTTPd Team at http://hoohoo.ncsa.uiuc.edu/.