Additional Web Page

I'm looking at having another short page written on an existing website. A link? is going to be put on? our front page pointing to a page that takes some very basic information from them before allowing them to download something from us. Basically they will click a link on the home page which takes them to a page which asks for some? basic info, once they have filled that in it takes them to another page where they can download guides to various things. An example of the page that we will require them to fill their details in can be seen at: <[login to view URL]> When they click the Submit button two things should happen, the first is that the details that they submitted should be emailed to us and secondly they should be taken to this page; <[login to view URL]> Note the First name and email address are required fields but not the others. Any questions please feel free to ask.