Need a php mail form 15$

Need this as fast as possible, pm me before making it, so that I dont get several forms. Payment via Paypal

On this page

http://www.payback.dk/karafuu/beta/contact/contact.htm

I need a mail form incorperated. The form needs following fields in this order set up nicely

[LIST]
[*]Sender name required field
[
]Sender Email required field
[
]Sender Phone number optional field
[
]A drop down with following departments

  • General Inquiries [COLOR=maroon][FONT=Segoe UI][COLOR=#0000ff]info@karafuuzanzibar.com[/COLOR]
    [FONT=Verdana][COLOR=black]- Bookings & Reservations [COLOR=maroon][FONT=Segoe UI][COLOR=#0000ff]booking@karafuuzanzibar.com[/COLOR][/FONT][/COLOR]
  • Dive Center [COLOR=maroon][FONT=Segoe UI][COLOR=#0000ff]diving@karafuuzanzibar.com[/COLOR][/FONT][/COLOR][/COLOR][/FONT][/FONT][/COLOR]
    [*][COLOR=maroon][FONT=Segoe UI][FONT=Verdana][COLOR=black][COLOR=maroon][FONT=Segoe UI][COLOR=black]Message[/COLOR][COLOR=black] field[/COLOR][/FONT][/COLOR][/COLOR][/FONT][/FONT][/COLOR]
    [/LIST][COLOR=maroon][FONT=Segoe UI][COLOR=black][COLOR=maroon][FONT=Segoe UI][FONT=Verdana][COLOR=black]All three department emails need a [COLOR=black]seperate[/COLOR][/COLOR][COLOR=black] “receipt” page[/COLOR][COLOR=black] with the text “Thank you for contacting Karafuu Hotel & Beach Resort. Your message is sent and we will get back to you shortly.”[/COLOR][/FONT][/FONT][/COLOR][/COLOR][/FONT][/COLOR]