Well, this should work:
Create a HTML page named "mySubmitPage.htm" and paste in the following:
Code:
<HTML>
<HEAD>
<META NAME="GENERATOR" Content="Microsoft Visual Studio 6.0">
<TITLE></TITLE>
</HEAD>
<BODY>
	<FORM NAME="NewMessage" ACTION="PostData.asp?action=save" METHOD="post">

	<TABLE BORDER="0" CELLSPACING="0" CELLPADDING="0">
		<TR>
			<TD VALIGN="top" ALIGN="right">Name:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="name" MAXLENGTH="50" VALUE=""></INPUT></TD>
		</TR>
		<TR>
			<TD VALIGN="top" ALIGN="right">E-mail:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="email" MAXLENGTH="50" VALUE=""></INPUT></TD>
		</TR>
		<TR>
			<TD VALIGN="top" ALIGN="right">Item 1:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="Item1" MAXLENGTH="50" VALUE=""></INPUT></TD>
		</TR>
		<TR>
			<TD VALIGN="top" ALIGN="right">Item 2:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="Item2" MAXLENGTH="50" VALUE=""></INPUT></TD>
		</TR>
		<TR>
			<TD VALIGN="top" ALIGN="right">Item 3:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="Item3" MAXLENGTH="50" VALUE=""></INPUT></TD>
		</TR>
		<TR>
			<TD COLSPAN="2" ALIGN="right"><INPUT TYPE="reset" VALUE="Reset Form" id=reset1 name=reset1>&nbsp;&nbsp;<INPUT TYPE="submit" VALUE="Post Data" id=submit1 name=submit1></TD>
		</TR>
	</TABLE>
	</FORM>
</BODY>
</HTML>
Then create an ASP page called "PostData.asp" and paste in the following code:
Code:
<%@ Language=VBScript %>
<%
' Default Access 2000 DB connection info
' Not using a constant, as the MapPath function is used in string
Dim DB_CONNECTIONSTRING

DB_CONNECTIONSTRING = "Provider=Microsoft.Jet.OLEDB.4.0; Data Source=" & Server.MapPath("database/MyData.mdb") & ";"

' Sample SQL Server connection info
'Const DB_CONNECTIONSTRING = "Provider=SQLOLEDB; Data Source=myServer; Initial Catalog=myDater;"
'Const DB_USERNAME = "webuser"
'Const DB_PASSWORD = "webuser"

Const SEND_EMAIL = True
' This is the From address which will send the email
' Typicaly this is an account on your exchange.server in the same PC as IIS.
Const EMAIL_SERVER_ADDR = "Keyfax Webmaster <[email protected]>"
' You'll need to modify this function to use whatever email compnent
' you prefer if you want to use email notification.
Sub SendEmail(strTo, strSubject, strBody)
	' DB and email object vars for email notification
	Dim objCDOMail

	' Make sure emailing is enabled
	If SEND_EMAIL Then
		' Create an instance of the NewMail object.
		Set objCDOMail = Server.CreateObject("CDONTS.NewMail")

		' Set the properties of the object
		objCDOMail.From = EMAIL_SERVER_ADDR
		objCDOMail.To = strTo
		objCDOMail.Subject = strSubject
		objCDOMail.Body = strBody

		' Send the message!
		objCDOMail.Send
		Set objCDOMail = Nothing
	End If
End Sub ' SendEmail

' Open up the database and INSERT the data 
Sub InsertData(sName, sItem1, sItem2, sItem3)
	Dim conn
	Dim sql
	
	Set conn = Server.createobject("ADODB.CONNECTION")
	conn.open DB_CONNECTIONSTRING
	
	sql = "INSERT INTO myTable(Name, Item1, Item2, Item3) " & _
	      "VALUES ('" & sName & "', '" & sItem1 & "', '" & sItem2 & "', '" & sItem3 & "')"
	
	conn.execute(sql)
	
	Set conn=Nothing
	
End Sub ' InsertData

Sub DoSubmit()
	Dim sSubject, sMessage, bNotify
	Dim sItem1, sItem2, sItem3
	
	Dim sName, sEmail ' User Info from Cookies

	Select Case Request.QueryString("action")
		Case "save"
			' Retrieve parameters
			sName = oConfirmation.name.Value
			sEmail = oConfirmation.email.Value
			'' The name and email could be fetched from a cookie as follows
			' sName = Request.Cookies("name")
			' sEmail = Request.Cookies("email")

			'' If the data is held in a database, then query for data based
			'' on a supplied userID as follows
			
			' Dim conn, strSQL, ORS, strUserID
			' strUserID = Request.Form("UserID")
			' conn.open DB_CONNECTIONSTRING
			' strSQL = "SELECT name, email FROM users WHERE userID = '" & strUserID & "'"
	
			' Set ORS = conn.execute(sql)
	
			' If Not ORS.EOF  Then
			'	 sName = ORS.Fields("name")
			'	 sEmail = ORS.Fields("email")
			' End If
			' 
			'' There obviously needs some validation here for a password
			'' This example is for reference only.
			
			' Add all the items on the form which are to be validated and
			' in turn to be included in the Email confirmation and database INSERT.
			sItem1 = oConfirmation.Item1.Value
			sItem2 = oConfirmation.Item2.Value
			sItem3 = oConfirmation.Item3.Value
			
			' DO YOUR VALIDATION HERE
			' To keep this simple I am only checking for values in each input field.
			If Len(Trim(oConfirmation.Item1.Value)) > 0 Or Len(Trim(oConfirmation.Item2.Value)) > 0 Or Len(Trim(oConfirmation.Item3.Value)) > 0 Then
				
				sSubject = "Submission notification"
				sMessage = "Item1=[" & oConfirmation.Item1.Value & "]" & vbCrLf & _
						   "Item2=[" & oConfirmation.Item2.Value & "]" & vbCrLf & _
						   "Item3=[" & oConfirmation.Item3.Value & "]"
				
				' Send the email confirmation to the user		   
				SendEmail sEmail, sSubject, sMessage
				
				InsertData sName, sItem1, sItem2, sItem3
			Else
			
			End If
		Case Else

	End Select
End Sub	

%>
<HTML>
<HEAD>
<META NAME="GENERATOR" Content="Microsoft Visual Studio 6.0">
<TITLE>Confirmation</TITLE>
</HEAD>
<BODY>
	<FORM NAME="oConfirmation">
	<P>You have requested to send the following data. Please confirm the following details are correct</P>
	<TABLE BORDER="0" CELLSPACING="0" CELLPADDING="0">
		<TR>
			<TD VALIGN="top" ALIGN="right">Name:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="name" MAXLENGTH="50" VALUE="<%=Request.Form("name")%>"></INPUT></TD>
		</TR>
		<TR>
			<TD VALIGN="top" ALIGN="right">E-mail:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="email" MAXLENGTH="50" VALUE="<%=Request.Form("email")%>"></INPUT></TD>
		</TR>
		<TR>
			<TD VALIGN="top" ALIGN="right">Item 1:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="Item1" MAXLENGTH="50" VALUE="<%=Request.Form("Item1")%>"></INPUT></TD>
		</TR>
		<TR>
			<TD VALIGN="top" ALIGN="right">Item 2:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="Item2" MAXLENGTH="50" VALUE="<%=Request.Form("Item2")%>"></INPUT></TD>
		</TR>
		<TR>
			<TD VALIGN="top" ALIGN="right">Item 3:&nbsp;</TD>
			<TD><INPUT TYPE="text" NAME="Item3" MAXLENGTH="50" VALUE="<%=Request.Form("Item3")%>"></INPUT></TD>
		</TR>
		<TR>
			<TD COLSPAN="2" ALIGN="right"><INPUT TYPE="button" VALUE="Send Data" id=submit1 name=submit1 onClick="DoSubmit()"></INPUT></TD>
		</TR>
	</TABLE>
	</FORM>
</BODY>
</HTML>
You will have to check with your server administrator about the email service running on the server and change accordingly. I have used CDONTS.
When both are in IIS, in the same folder, run "mySubmitPage".

Hope this helps