HTML - Simple Basic Php Email Script

Is there a basic html code or script i can enter to just make a mailing list form? as simple as a tab for entering your name and a tab for e mail address and then having it sent to an email?.....the site im using hostmonster.com has PHP but im pretty much clueless on setting up a mailing list with it...and ive been reading a good amount but its confusing... al i want is a form with name and e mail entry which is then sent to my main e mail address..any help i would really appreciate it, its driving me crazy!!

Basically, I am using a site that only allows its members to add basic HTML (not scripts or JS or CSS) in its layout. I have done a lot of stuff already, but I have a question if what I want to do in the diagram below is possible just with HTML. It is basically pretty simple, except that I can't seem to get the code to work to make only part of a page (specified area/rectangle) a certain background color or image and then still be able to embed a couple image URL's (buttons) on top of it, as well as formatted text I choose. Does it have something to do with using <div> code?

If I can get the images (as buttons) mounted against that area/rectangle, I'm pretty sure I know how to make them hot links to another site. However, the final kicker is I want the buttons to be a default image normally, but then switch to another image of the same size when someone mouses over it, and that when clicked is also the hot link to the URL . That is the part I know little about. Is anyone here genius enough to just look at my diagram and write me the code, and just substitute generic values for where I'd put the specific image URL's, text formatting and parameters I specify?

I hope this diagram helps, thanks a lot to anyone who can do this for me!!!

The website I am working on is he http://radarcartoons.com/test/test.html
I want each of those "blips" to change to the other pictures I have of them lit when you rollover it, but I can't figure out how to do a rollover script for multiple images on one page. The names of my alternate files are the same as the regular ones, except they have an _lit.jpg after them. So if it's 2.jpg, then the lit one would be 2_lit.jpg.

I will also of course want to make them links to pages which i still have to make, but maybe the code just to make them links and an example link could show me how to get it working.

Thanks a lot to anyone who can help me out on my big request!

I have a form field which is supposed to send the input email address to my client's inbox. I am using GoDaddy hosting, so the form action is "gdform.asp". but when the submit button is hit, it loads a page called www.amazingwomen.org/gdform.asp (which is clearly not a real page). I can't figure out why it would do this!
Here is the code:

<div id="email" style="position:absolute; top:233; left:30; z-index:3;">
<form action="gdform.asp" method="post">
<input type="hidden" name="subject" value="Amazing Women Newsletter Subscription">
<input type="hidden" name="redirect" value="http://www.amazingwomen.org/index.html">
<input type="text" name="Email" value="your email address" id="email">
</div>
<div id="submit" style="position:absolute; top:231; left:190; z-index:3;">
<input type="image" name="submit" src="img/gobut.gif">
</form>
</div>


I just noticed that the submit button is in a separate <div>. Could this be causing the problem?? Thanks in advance for any help!!

>>>I tried putting the submit button in the same div and I still have the same problem :S
I need for the form to send the info and then redirect back to the same page (or not at all).

I've basically got 2 boxes, one is email, one is name, and then a submit button.

It may be stupid, but I can't link them together (as 1 form).

They have images inbetween them so I can't seem to link the code so they all work together?

Any ideas?