Form Data Sent Via Mail

Hello. I am looking for someone who can build a very simple single webpage where my customers can input data. The data customers input should be sent to me via e-mail. The purpose of this page is that customers should be able to submit a shipment request (I have a shipping business) Customer should be able to enter weight, dimensions, receiver and more. All data should be sent to me via e-mail when it has been entered and the customers presses SUBMIT. And customer should also receive a copy of the entered data to their e-mail address. Anyone who can/will help me with this small project? Thanks, Martin.