I need a PHP/HTML form Repaired

I have a form page built, and the php page to send the form. It needs a few more entries on the PHP page to work.. I need it to send the data to an email address. I am not that good with PHP, but I did design the html form and that works as it should. I am willing to pay up to 30.00 for the repair of the file,,, you can see the file/s at [login to view URL] and the php page is [login to view URL] Please let me know, first bidder that can prove they can do the work gets it,, quick money for the PHP/HTML Wise.. THank you ,, John V. [login to view URL]