each of the text boxes has an assigned value (u asigned them). in the next page use $value for retreive wat they entered.
example:
//Birthday is the name
<td valign=top><Input type="text" name="birthday" </td>
//when they click submit it'll take them to whatever page u specified
//from there do:
$msg = "$birthday";
mail("email@email.com","TITLE1","TITLE2", $msg);
// the message will contain the contents of birthday
same thing with any other type of input