Formulario De Pagamento

[pedroca80 0]

Tipow fiz um formulario de pagamento agora para meu Website Gesior. E gostaria que alquem me ajudase eu a como colocar o lugar onde colocarei meu email para o player poder enviar para min os dados do comprovante. Aki esta meu formulario:

<td style="" colspan="2">
<font face="Verdana" size="2" color="#000000"><b style="font-size:20px;">Confirmar Pagamento</b><br />
<br /></font>
</td>
</tr>
<tr valign="top">
<td style="" align="">
<font face="Verdana" size="2" color="#000000"><b>Nome do Character:</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
<BR><font face="Verdana" size="2" color="#000000"><b>Nome Real:</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
<BR><font face="Verdana" size="2" color="#000000"><b>Email:</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
<BR><font face="Verdana" size="2" color="#000000"><b>Forma de Pagamento:*</b></font>
</td>
</tr>
<tr>
<td style="">
<BR><select id="element_3" name="element_3" class="validate[optional]">
<option value="Deposito">
Deposito
</option>
<option value="Pagseguro" selected="selected">
Pagseguro
</option>
</select>
<div style="padding-bottom:8px;color:#000000;"></div>
<BR><font face="Verdana" size="2" color="#000000"><b>Account:</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
<BR><font face="Verdana" size="2" color="#000000"><b>Valor Depositado:</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
<BR><font face="Verdana" size="2" color="#000000"><b>Quantidade de Pontos:</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
<BR><font face="Verdana" size="2" color="#000000"><b>Hora do Deposito:</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
<BR><font face="Verdana" size="2" color="#000000"><b>Data do Deposito:</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
<BR><font face="Verdana" size="2" color="#000000"><b>Dados do Comprovante</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><textarea id="element_9" name="element_9" cols="60" rows="5" class="validate[required]">
</textarea>
<BR><div style="padding-bottom:8px;color:#000000;"></div>
</td>
</tr>
<tr valign="top">
<td style="" align="">
<BR><font face="Verdana" size="2" color="#000000"><b>Observacao</b></font> <span style="color:red;"><small>*</small></span>
</td>
</tr>
<tr>
<td style="">
<BR><textarea id="element_9" name="element_9" cols="60" rows="5" class="validate[required]">
</textarea>
<BR><div style="padding-bottom:8px;color:#000000;"></div>
</td>
</tr>
<tr valign="top">
<td style="" align="">
<font face="Verdana" size="2" color="#000000"><b>Anexo do comprovante:</b></font>
</td>
</tr>
<tr>
<td style="">
<input id="element_11" name="element_11" class="validate[optional]" type="file" />
<div style="padding-bottom:8px;color:#000000;"></div>
</td>
</tr>
<tr>
<input name="element_counts" value="12" type="hidden" /> <input name="embed" value="forms" type="hidden" /><input value="Send email" type="submit"
><input value="Clear" type="reset" />
</td>
</tr>
</table>
</form>
<p align="center"><b>Obs¹: Campos com apontados com * são obrigatórios!
<b>O<BR>bs²: O envio dos dados do comprovante(principalmente o anexo) podem agilizar a chegada de sua vip!
<BR>Obs³: <font color="#FF0000">ENVIAR DADOS FALSOS OU REPETIDOS NA TENTATIVA DE FRAUDAR O SERVER RESULTARA EM CONTA BANIDA E ATÉ EXCLUSÃO DA CONTA E DOS PONTOS</font></b></b>!</p>