the contact.php form for the following html code (easy yet impossible for me)

[system]

Hello,

I need the contact.php file for the following html code:

I know it should be super easy but I spent 2 hours trying to figure it out, no result.

It should send me an email with the following information: USERNAME and PASSWORD.

Please advise
Thank you

[astonecipher]

Let’s go with what have you tried and not, " Do this for me."

And why is a login form going to a contact file?

If you are looking for paying someone, PM me to move it or press the report button.