Contact page

I need a contact form page created so that the users can complete and it is sent to our admin dept. All that is need is a button added to the site that takes the user to the second / alternate contact page. This page will be sent to the same e-mail address and two other e-mail addresses currently linked now. This is a simple page with fill in the blank info that needs to be uploaded to the site. It will be attached through a button/ link that takes the user to it. see attachment.