Help, please...!!! I need someone to code a mail form for me.

<a href="http://i111.photobucket.com/albums/n143/As_Different_as_Night_and_Day/form.jpg" target="_blank">EXAMPLE</a>

I have tried freedback, but when I copy the code in it doesn't work. I don't know why.

I would be so grateful if someone would be so kind as to code this for me.
Thank you.

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