A custom page designed in php that has editable delivery address.
e.g in the code I can simply put the email address where I want the emails to go and they can go there.
Plus the boxes that should be on that form should be as following
Name : {User Input Field}
Email : {User Input Field}
Account ID : {User Input Field}
Server : {Custom Text Editable Via Code}
Message : {Custom text input Field}