I want a complete contact form, with. html included

function contactForm(name, email, phone, address, message) {
  return '<div class="contactRow">' +
    '<p class="name">' + name + '</p>' +
    '<p class="email">' + email + '</p>' +
    '<p class="phone">' + phone + '</p>' +
    '<p class="address">' + address + '</p>' +
    '<p class="message">' + message + '</p>' +
    '<div class="clear"></div></div>';
}

var contactInfo1 = contactForm('John Smith', 'jsmith@gmail.com', '123-456-7890', '123 Main St', 'This is a message');
document.write(contactInfo1);