Forespørgsel script? hjælp

Hej Alle

Jeg mangler et forespørgsels script.
jeg har en kontakt side, og det skal ligene det lidt bare med nogle andre bokse.

Den kontakt side jeg har er bygget op sådan her:

Navn:

Email:

Tekst:

Min forespøgsels side skal være bygget op sådan her:

Navn:

Email:

Vareart: skal være en dropdown boks med forskellige valgmuligheder

Varenavn:


Hvis det kan hjælpe med så poster jeg lige koden til kontakt siden, så kan den der vil hjælpe måske bygge videre på den?

koden:
<?php
/*
  $Id: contact_us.php,v 1.39 2003/02/14 05:51:15 hpdl Exp $

  osCommerce, Open Source E-Commerce Solutions
  http://www.oscommerce.com

  Copyright (c) 2003 osCommerce

  Released under the GNU General Public License
*/

  require('includes/application_top.php');

  require(DIR_WS_LANGUAGES . $language . '/' . FILENAME_CONTACT_US);

  $error = false;
  if (isset($HTTP_GET_VARS['action']) && ($HTTP_GET_VARS['action'] == 'send')) {
    if (tep_validate_email(trim($HTTP_POST_VARS['email']))) {
      tep_mail(STORE_OWNER, STORE_OWNER_EMAIL_ADDRESS, EMAIL_SUBJECT, $HTTP_POST_VARS['enquiry'], $HTTP_POST_VARS['name'], $HTTP_POST_VARS['email']);
      tep_redirect(tep_href_link(FILENAME_CONTACT_US, 'action=success'));
    } else {
      $error = true;
    }
  }

  $breadcrumb->add(NAVBAR_TITLE, tep_href_link(FILENAME_CONTACT_US));
?>
<!doctype html public "-//W3C//DTD HTML 4.01 Transitional//EN">
<html <?php echo HTML_PARAMS; ?>>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=<?php echo CHARSET; ?>">
<?php
// BOF: WebMakers.com Changed: Header Tag Controller v1.0
// Replaced by header_tags.php
if ( file_exists(DIR_WS_INCLUDES . 'header_tags.php') ) {
  require(DIR_WS_INCLUDES . 'header_tags.php');
} else {
?>
  <title><?php echo TITLE ?></title>
<?php
}
// EOF: WebMakers.com Changed: Header Tag Controller v1.0
?>
<base href="<?php echo (($request_type == 'SSL') ? HTTPS_SERVER : HTTP_SERVER) . DIR_WS_CATALOG; ?>">
<link rel="stylesheet" type="text/css" href="stylesheet.css">
</head>
<body marginwidth="0" marginheight="0" topmargin="0" bottommargin="0" leftmargin="0" rightmargin="0">
<!-- header //-->
<?php require(DIR_WS_INCLUDES . 'header.php'); ?>
<!-- header_eof //-->

<!-- body //-->
<table border="0" width="100%" cellspacing="3" cellpadding="3">
  <tr>
    <td width="<?php echo BOX_WIDTH; ?>" valign="top"><table border="0" width="<?php echo BOX_WIDTH; ?>" cellspacing="0" cellpadding="2">
<!-- left_navigation //-->
<?php require(DIR_WS_INCLUDES . 'column_left.php'); ?>
<!-- left_navigation_eof //-->
    </table></td>
<!-- body_text //-->
    <td width="100%" valign="top"><table border="0" width="100%" cellspacing="0" cellpadding="0">
      <tr>
        <td><table border="0" width="100%" cellspacing="0" cellpadding="0">
          <tr>
            <td class="pageHeading"><?php echo HEADING_TITLE; ?></td>
            <td class="pageHeading" align="right"><?php echo tep_image(DIR_WS_IMAGES . 'table_background_contact_us.gif', HEADING_TITLE, HEADING_IMAGE_WIDTH, HEADING_IMAGE_HEIGHT); ?></td>
          </tr>
        </table></td>
      </tr>
      <tr>
        <td><?php echo tep_draw_separator('pixel_trans.gif', '100%', '10'); ?></td>
      </tr>
<?php
  if (isset($HTTP_GET_VARS['action']) && ($HTTP_GET_VARS['action'] == 'success')) {
?>
      <tr>
        <td><table border="0" width="100%" cellspacing="0" cellpadding="2">
          <tr>
            <td class="main"><?php echo tep_image(DIR_WS_IMAGES . 'table_background_man_on_board.gif', HEADING_TITLE, '0', '0', 'align="left"') . TEXT_SUCCESS; ?></td>
          </tr>
          <tr>
            <td align="right"><br><a href="<?php echo tep_href_link(FILENAME_DEFAULT); ?>"><?php echo tep_image_button('button_continue.gif', IMAGE_BUTTON_CONTINUE); ?></a></td>
          </tr>
        </table></td>
      </tr>
<?php
  } else {
?>
      <tr>
        <td><?php echo tep_draw_form('contact_us', tep_href_link(FILENAME_CONTACT_US, 'action=send')); ?><table border="0" width="100%" cellspacing="0" cellpadding="2">
          <tr>
            <td class="main"><?php echo ENTRY_NAME; ?><br><?php echo tep_draw_input_field('name', ($error ? $HTTP_POST_VARS['name'] : $first_name)); ?></td>
          </tr>
          <tr>
            <td class="main"><?php echo ENTRY_EMAIL; ?><br><?php echo tep_draw_input_field('email', ($error ? $HTTP_POST_VARS['email'] : $email_address)); if ($error) echo ENTRY_EMAIL_ADDRESS_CHECK_ERROR; ?></td>
          </tr>
          <tr>
            <td class="main"><?php echo ENTRY_ENQUIRY; ?></td>
          </tr>
          <tr>
            <td><?php echo tep_draw_textarea_field('enquiry', 'soft', 50, 15, $HTTP_POST_VARS['enquiry']); ?></td>
          </tr>
          <tr>
            <td class="main" align="right"><br><?php echo tep_image_submit('button_continue.gif', IMAGE_BUTTON_CONTINUE); ?></td>
          </tr>
        </table></form></td>
      </tr>
<?php
  }
?>
    </table></td>
<!-- body_text_eof //-->
    <td width="<?php echo BOX_WIDTH; ?>" valign="top"><table border="0" width="<?php echo BOX_WIDTH; ?>" cellspacing="0" cellpadding="2">
<!-- right_navigation //-->
<?php require(DIR_WS_INCLUDES . 'column_right.php'); ?>
<!-- right_navigation_eof //-->
    </table></td>
  </tr>
</table>
<!-- body_eof //-->

<!-- footer //-->
<?php require(DIR_WS_INCLUDES . 'footer.php'); ?>
<!-- footer_eof //-->
<br>
</body>
</html>
<?php require(DIR_WS_INCLUDES . 'application_bottom.php'); ?>


Håber nogen kan/gider at hjælpe.

I er velkommen til at spørge hvis mit spørgsmål er for uklart?

mvh
dALLe