<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<div class="modal fade" style="display:none;" id="sendMail">
<div class="modal-dialog" role="dialog">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Cancel">
<span class="glyphicon glyphicon-remove" aria-hidden="true"></span>
</button>
<h4 class="modal-title"><span class="glyphicon glyphicon-envelope" style="color:#dee3f0;"></span> Send E-Mail</h4>
</div>
<div class="modal-body">
<form name="emailModal" id="emailModal" method="post" action="PATH TO YOUR MAIL SCRIPT HERE">
<div class="input-group">
<label for "email">E-Mail:</label>
<input name="email" class="form-control" type="email" autofocus id="email" form="emailModal" placeholder="E-Mail">
</div>
<br />
<div class="checkbox-slider--b-flat checkbox-slider-md">
<label>
<input type="checkbox" id="addMail"><span>·Send a copy to another E-Mail address</span>
</label>
</div>
<div class="input-group" id="mailCC" style="display: none;">
<br />
<label for "mailCC">CC:</label>
<input name="email2" class="form-control" type="email" form="emailModal" placeholder="CC E-Mail address ">
</div>
</div>
<div class="modal-footer">
<button type="submit" form="emailModal" class="btn btn-success" style="background-color: #2597cd;"><span class="glyphicon glyphicon-send"></span>·Send it!</button>
<button type="button" class="btn btn-danger" data-dismiss="modal">Cancel</button>
</form>