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To create an e-mail form, grab and customize the HTML and form code from this item. Here's the sample code you'll need to copy, modify, and paste into the Sitecore editor's HTML view.

See validation for instructions on how to require certain fields

Sample form

Personal information

Preferred day
By the way, if you know how to code forms, you can easily customize the above to do more than a) trigger an e-mail to the Web Team and b) route users to the County home page.