1. Name
2. Email Address
3. Phone Number
4. Address

Take this information and write it in ​to​ a collection in a mongodb database​ after a submit button has been pressed​. Once it has been written into a database, read ​the email address ​that was submitted ​from a config collection in the database and send an email with the information entered in the form to th e user.

Finally make a view where you can examine the contents of the collection containing all of the data entered from the form above.

It doesn't have to be anything fancy. No authentication. If you wanted to (but don't have to) you could style it with twitter bootstrap. ​ If you have any questions please let me know and I look forward to hearing back from you.