Email sender

Hi, I want to create page for product ordering. But not for online payment, just for order. I tried this with Contact 7 plugin, and everything is great, but I can’t “autoresponder” clients!
I would like to have this form on my wordpress page.

Enter your:
*Name and Last name:
*Email:
*Mobilni telefon:
*Street address:
*ZIP:
*City:
*Country:
*Quantity
*Select the taste you want:
1.vanilla
2.strawberry
3.Chocolate

CLICK TO SEND ORDER NOW

And, IN JUST A SECOND when user clicks “CLICK TO SEND ORDER NOW”, he recieves an email like this:

Hello [name and last name]
We just recieved your order.
To complete it, go to the bank and pay.
-and there will be my bank account-

Is this possible? (sorry for bad English)