Comment Submission Form

We would like a simple web form. The form would be used to collect feedback from meeting participants related to topics that are published in a monthly agenda. The agenda is sent out as a Word document each month and contains an outlined agenda with up to 25 topics. We would like the person who is creating the agenda to be able to hyperlink each agenda topic with a parameterized link. Example: [login to view URL] The php page "agendacomments.php" would display a user entry text box with a title using the "showtopic" parameter (example "LP Shareholder Review"). The user would enter their comments for that topic as free form text. There would also be an additional field for them to enter their name (not required). They would then click a Submit button which would send their submission to a specified email address. The email would have the parameter in the Subject (example "Agenda Feedback: LP Shareholder Review", and would contain the user's name (or "anonymous") and the user supplied comments in the email body. Upon submission, the user would be directed a page that simply thanks them for their submission.