Is there a plugin for contact form with table?

I would need to have a (contact) form that includes a table. And the data from the table is transferred just as any other info on the form to an email/database.
Have been looking for (free) plugins for a few days now and no luck.

It should be able to do this:
http://www.cairnterrieri.fi/?id=861C4008-F83446889426-5DB03FE6A2FD
(mid -page – table)

If anyone knows of any, suggestions are very much appreciated!
Thanks!