<form action="skrypt.php" method="post">
        <input type="text" name="email" /><br />
        <input type="text" name="nazwisko" /><br />
        <textarea name="content" cols="30" rows="6"></textarea>
        <input type="submit" value="wyślij" />
</form>

<?
    $adresat = 'nazwa@vp.pl';     
    @$content = "<b>Imie:</b>".$_POST['content']."<br>".$_POST['nazwisko'];
    
    @$from = $_POST[nazwisko].' <'.$_POST[email].'>';
    $replyTo = $from;
    
    $header .= "Content-type: text/html; charset=iso-8859-2\n";
    $header .= "Content-Transfer-Encoding: charset=iso-8859-2";
    $header .= "From: ".$from."\r\n";
    $header .= "Reply-to: $from\r\n";
    $header .= "Mime-Version: 1.0\r\n";
    if (mail($adresat, $email, $content, $header))
        echo '<p>działa</p>';
    else
        echo '<p><b>NIE</b> wysłano maila!</p>';
?>