Formulário Pop up Modal para enviar dados para meu e-mail

Estou fazendo um formulário pop up usando o modal, mas não estou conseguindo editar ele da maneira que eu estou querendo, cheguei até uma certa parte mas não consegui avançar para ficar do jeito que tinha feito em asp e javascript, segue imagem para melhor interpretação;

Esse print é do formulário pop up modal que estou fazendo

Segue os codigos do modal

contact.php

<?php

/*
 * SimpleModal Contact Form
 * http://simplemodal.com
 *
 * Copyright (c) 2013 Eric Martin - http://ericmmartin.com
 *
 * Licensed under the MIT license:
 *   http://www.opensource.org/licenses/mit-license.php
 */

date_default_timezone_set('America/Sao_Paulo');

// User settings
$to = "wandersom@greletronics.com.br";
$subject = "Formulário POP UP";

// Include extra form fields and/or submitter data?
// false = do not include
$extra = array(
	"form_subject"	=> true,
	"form_cc"		=> true,
	"ip"			=> true,
	"user_agent"	=> true
);

// Process
$action = isset($_POST["action"]) ? $_POST["action"] : "";
if (empty($action)) {
	// Send back the contact form HTML
	$output = "<div style='display:none'>
	<div class='contact-top'></div>
	<div class='contact-content'>
		<h1 class='contact-title'>Formulário:</h1>
		<div class='contact-loading' style='display:none'></div>
		<div class='contact-message' style='display:none'></div>
		<form action='#' style='display:none'>
			<label for='contact-name'>*Nome:</label>
			<input type='text' id='contact-name' class='contact-input' name='name' tabindex='1001' />
			<label for='contact-email'>*E-mail:</label>
			<input type='text' id='contact-email' class='contact-input' name='email' tabindex='1002' />";

	if ($extra["form_subject"]) {
		$output .= "
			<label for='contact-subject'>Cadastre uma senha:</label>
			<input type='text' id='contact-subject' class='contact-input' name='subject' value='' tabindex='1003' />";
	}

	$output .= "
			<label for='contact-message'>*Message:</label>
			<textarea id='contact-message' class='contact-input' name='message' cols='40' rows='4' tabindex='1004'></textarea>
			<br/>";

	if ($extra["form_cc"]) {
		$output .= "
			<label> </label>
			 <span class='contact-cc'></span>
			";
	}

	$output .= "
			<label> </label>
			<button type='submit' class='contact-send contact-button' tabindex='1006'>Enviar</button>
			
			<br/>
			<input type='hidden' name='token' value='" . smcf_token($to) . "'/>
		</form>
	</div>
	<div class='contact-bottom'></div>
</div>";

	echo $output;
}
else if ($action == "send") {
	// Send the email
	$name = isset($_POST["name"]) ? $_POST["name"] : "";
	$email = isset($_POST["email"]) ? $_POST["email"] : "";
	$subject = isset($_POST["subject"]) ? $_POST["subject"] : $subject;
	$message = isset($_POST["message"]) ? $_POST["message"] : "";
	$cc = isset($_POST["cc"]) ? $_POST["cc"] : "";
	$token = isset($_POST["token"]) ? $_POST["token"] : "";

	// make sure the token matches
	if ($token === smcf_token($to)) {
		smcf_send($name, $email, $subject, $message, $cc);
		echo "Your message was successfully sent.";
	}
	else {
		echo "Unfortunately, your message could not be verified.";
	}
}

function smcf_token($s) {
	return md5("smcf-" . $s . date("WY"));
}

// Validate and send email
function smcf_send($name, $email, $subject, $message, $cc) {
	global $to, $extra;

	// Filter and validate fields
	$name = smcf_filter($name);
	$subject = smcf_filter($subject);
	$email = smcf_filter($email);
	if (!smcf_validate_email($email)) {
		$subject .= " - invalid email";
		$message .= "\n\nBad email: $email";
		$email = $to;
		$cc = 0; // do not CC "sender"
	}

	// Add additional info to the message
	if ($extra["ip"]) {
		$message .= "\n\nIP: " . $_SERVER["REMOTE_ADDR"];
	}
	if ($extra["user_agent"]) {
		$message .= "\n\nUSER AGENT: " . $_SERVER["HTTP_USER_AGENT"];
	}

	// Set and wordwrap message body
	$body = "From: $name\n\n";
	$body .= "Message: $message";
	$body = wordwrap($body, 70);

	// Build header
	$headers = "From: $email\n";
	if ($cc == 1) {
		$headers .= "Cc: $email\n";
	}
	$headers .= "X-Mailer: PHP/SimpleModalContactForm";

	// UTF-8
	if (function_exists('mb_encode_mimeheader')) {
		$subject = mb_encode_mimeheader($subject, "UTF-8", "B", "\n");
	}
	else {
		// you need to enable mb_encode_mimeheader or risk 
		// getting emails that are not UTF-8 encoded
	}
	$headers .= "MIME-Version: 1.0\n";
	$headers .= "Content-type: text/plain; charset=utf-8\n";
	$headers .= "Content-Transfer-Encoding: quoted-printable\n";

	// Send email
	@mail($to, $subject, $body, $headers) or 
		die("Unfortunately, a server issue prevented delivery of your message.");
}

// Remove any un-safe values to prevent email injection
function smcf_filter($value) {
	$pattern = array("/\n/","/\r/","/content-type:/i","/to:/i", "/from:/i", "/cc:/i");
	$value = preg_replace($pattern, "", $value);
	return $value;
}

// Validate email address format in case client-side validation "fails"
function smcf_validate_email($email) {
	$at = strrpos($email, "@");

	// Make sure the at (@) sybmol exists and  
	// it is not the first or last character
	if ($at && ($at < 1 || ($at + 1) == strlen($email)))
		return false;

	// Make sure there aren't multiple periods together
	if (preg_match("/(\.{2,})/", $email))
		return false;

	// Break up the local and domain portions
	$local = substr($email, 0, $at);
	$domain = substr($email, $at + 1);


	// Check lengths
	$locLen = strlen($local);
	$domLen = strlen($domain);
	if ($locLen < 1 || $locLen > 64 || $domLen < 4 || $domLen > 255)
		return false;

	// Make sure local and domain don't start with or end with a period
	if (preg_match("/(^\.|\.$)/", $local) || preg_match("/(^\.|\.$)/", $domain))
		return false;

	// Check for quoted-string addresses
	// Since almost anything is allowed in a quoted-string address,
	// we're just going to let them go through
	if (!preg_match('/^"(.+)"$/', $local)) {
		// It's a dot-string address...check for valid characters
		if (!preg_match('/^[-a-zA-Z0-9!#$%*\/?|^{}`~&\'+=_\.]*$/', $local))
			return false;
	}

	// Make sure domain contains only valid characters and at least one period
	if (!preg_match("/^[-a-zA-Z0-9\.]*$/", $domain) || !strpos($domain, "."))
		return false;	

	return true;
}

exit;

?>

contact.css

/*
 * SimpleModal Contact Form
 * http://simplemodal.com
 *
 * Copyright (c) 2013 Eric Martin - http://ericmmartin.com
 *
 * Licensed under the MIT license:
 *   http://www.opensource.org/licenses/mit-license.php
 */

/* Overlay */
#contact-overlay {background-color:#000;}

/* Container */
#contact-container {font: 16px/22px 'Trebuchet MS', Verdana, Arial; text-align:left; width:450px;}
#contact-container .contact-content {background-color:#FFFFFF; color:#1F5771; height:40px;}
#contact-container h1 {color:#d76300; font-size:15px; line-height:50px; margin:0; padding:0 0 6px 12px; text-align:center;}
#contact-container .contact-loading {background:url(../img/contact/loading.gif) no-repeat; height:55px; margin:-14px 0 0 190px; padding:0; position:center; width:54px; z-index:8000;}
#contact-container .contact-message {text-align:center;}
#contact-container .contact-error {background:#000000; border:2px solid #ccc; font-size:14px; font-weight:bold; line-height:18px; margin:0 auto; padding:2px; width:92%;}
#contact-container br {clear:both;}
#contact-container form {margin:0; padding:0;}
#contact-container label {clear:left; display:block; float:left; font-weight:bold; padding-right:4px; text-align:right; width:100px;}
#contact-container .contact-input {background:#eee; border:1px solid #fff; font-family:'Trebuchet MS', Verdana, Arial; float:left; padding:2px; margin:2px; width:300px;}
#contact-container textarea {height:114px;}
#contact-container .contact-cc {cursor:default; font-size:14px; vertical-align:top;}
#contact-container .contact-top {background-color:#FFFFFF; height:13px; margin:0; padding:0; -webkit-border-top-left-radius:8px; -webkit-border-top-right-radius:8px; -moz-border-radius-topleft:8px; -moz-border-radius-topright:8px; border-radius:8px 8px 0 0;}
#contact-container .contact-bottom {background-color:#FFFFFF; font-size:12px; height:13px; line-height:12px; text-align:center; -webkit-border-bottom-right-radius:8px; -webkit-border-bottom-left-radius:8px; -moz-border-radius-bottomright:8px; -moz-border-radius-bottomleft:8px; border-radius:0 0 8px 8px;}
#contact-container .contact-bottom a,
#contact-container .contact-bottom a:link,
#contact-container .contact-bottom a:active,
#contact-container .contact-bottom a:visited {color:#666; position:relative; top:-4px; text-decoration:none;}
#contact-container .contact-bottom a:hover {color:#888;}
#contact-container .contact-button {background:#1F5771; border:0; color:#fff; cursor:pointer; font-size:16px; font-weight:bold; height:26px; margin:4px 0 0 4px; text-align:center; vertical-align:middle; -webkit-border-radius:8px; -moz-border-radius:8px; border-radius:8px;}
#contact-container .contact-button:hover {background:#f49000;}
#contact-container a.modal-close,
#contact-container a.modal-close:link,
#contact-container a.modal-close:active,
#contact-container a.modal-close:visited {color:#BBBBBB; font-size:18px; font-weight:bold; position:absolute; text-decoration:none; right:8px; top:0px;}
#contact-container a.modal-close:hover {color:#ccc;}

contact.js

/*
 * SimpleModal Contact Form
 * http://simplemodal.com
 *
 * Copyright (c) 2013 Eric Martin - http://ericmmartin.com
 *
 * Licensed under the MIT license:
 *   http://www.opensource.org/licenses/mit-license.php
 */

jQuery(function ($) {
	var contact = {
		message: null,
		init: function () {
			$('#contact-form input.contact, #contact-form a.contact').click(function (e) {
				e.preventDefault();

				// load the contact form using ajax
				$.get("data/contact.php", function(data){
					// create a modal dialog with the data
					$(data).modal({
						closeHTML: "<a href='#' title='Close' class='modal-close'></a>",
						position: ["15%",],
						overlayId: 'contact-overlay',
						containerId: 'contact-container',
						onOpen: contact.open,
						onShow: contact.show,
						onClose: contact.close
					});
				});
			});
		},
		open: function (dialog) {
			// dynamically determine height
			var h = 280;
			if ($('#contact-subject').length) {
				h += 26;
			}
			if ($('#contact-cc').length) {
				h += 22;
			}

			var title = $('#contact-container .contact-title').html();
			$('#contact-container .contact-title').html('Carregando...');
			dialog.overlay.fadeIn(200, function () {
				dialog.container.fadeIn(200, function () {
					dialog.data.fadeIn(200, function () {
						$('#contact-container .contact-content').animate({
							height: h
						}, function () {
							$('#contact-container .contact-title').html(title);
							$('#contact-container form').fadeIn(200, function () {
								$('#contact-container #contact-name').focus();

								$('#contact-container .contact-cc').click(function () {
									var cc = $('#contact-container #contact-cc');
									cc.is(':checked') ? cc.attr('checked', '') : cc.attr('checked', 'checked');
								});
							});
						});
					});
				});
			});
		},
		show: function (dialog) {
			$('#contact-container .contact-send').click(function (e) {
				e.preventDefault();
				// validate form
				if (contact.validate()) {
					var msg = $('#contact-container .contact-message');
					msg.fadeOut(function () {
						msg.removeClass('contact-error').empty();
					});
					$('#contact-container .contact-title').html('Sending...');
					$('#contact-container form').fadeOut(200);
					$('#contact-container .contact-content').animate({
						height: '80px'
					}, function () {
						$('#contact-container .contact-loading').fadeIn(200, function () {
							$.ajax({
								url: 'data/contact.php',
								data: $('#contact-container form').serialize() + '&action=send',
								type: 'post',
								cache: false,
								dataType: 'html',
								success: function (data) {
									$('#contact-container .contact-loading').fadeOut(200, function () {
										$('#contact-container .contact-title').html('Thank you!');
										msg.html(data).fadeIn(200);
									});
								},
								error: contact.error
							});
						});
					});
				}
				else {
					if ($('#contact-container .contact-message:visible').length > 0) {
						var msg = $('#contact-container .contact-message div');
						msg.fadeOut(200, function () {
							msg.empty();
							contact.showError();
							msg.fadeIn(200);
						});
					}
					else {
						$('#contact-container .contact-message').animate({
							height: '30px'
						}, contact.showError);
					}
					
				}
			});
		},
		close: function (dialog) {
			$('#contact-container .contact-message').fadeOut();
			$('#contact-container .contact-title').html('Goodbye...');
			$('#contact-container form').fadeOut(200);
			$('#contact-container .contact-content').animate({
				height: 40
			}, function () {
				dialog.data.fadeOut(200, function () {
					dialog.container.fadeOut(200, function () {
						dialog.overlay.fadeOut(200, function () {
							$.modal.close();
						});
					});
				});
			});
		},
		error: function (xhr) {
			alert(xhr.statusText);
		},
		validate: function () {
			contact.message = '';
			if (!$('#contact-container #contact-name').val()) {
				contact.message += 'Seu nome é obrigatório. ';
			}

			var email = $('#contact-container #contact-email').val();
			if (!email) {
				contact.message += 'Email is required. ';
			}
			else {
				if (!contact.validateEmail(email)) {
					contact.message += 'Email is invalid. ';
				}
			}

			if (!$('#contact-container #contact-message').val()) {
				contact.message += 'Message is required.';
			}

			if (contact.message.length > 0) {
				return false;
			}
			else {
				return true;
			}
		},
		validateEmail: function (email) {
			var at = email.lastIndexOf("@");

			// Make sure the at (@) sybmol exists and  
			// it is not the first or last character
			if (at < 1 || (at + 1) === email.length)
				return false;

			// Make sure there aren't multiple periods together
			if (/(\.{2,})/.test(email))
				return false;

			// Break up the local and domain portions
			var local = email.substring(0, at);
			var domain = email.substring(at + 1);

			// Check lengths
			if (local.length < 1 || local.length > 64 || domain.length < 4 || domain.length > 255)
				return false;

			// Make sure local and domain don't start with or end with a period
			if (/(^\.|\.$)/.test(local) || /(^\.|\.$)/.test(domain))
				return false;

			// Check for quoted-string addresses
			// Since almost anything is allowed in a quoted-string address,
			// we're just going to let them go through
			if (!/^"(.+)"$/.test(local)) {
				// It's a dot-string address...check for valid characters
				if (!/^[-a-zA-Z0-9!#$%*\/?|^{}`~&'+=_\.]*$/.test(local))
					return false;
			}

			// Make sure domain contains only valid characters and at least one period
			if (!/^[-a-zA-Z0-9\.]*$/.test(domain) || domain.indexOf(".") === -1)
				return false;	

			return true;
		},
		showError: function () {
			$('#contact-container .contact-message')
				.html($('<div class="contact-error"></div>').append(contact.message))
				.fadeIn(200);
		}
	};

	contact.init();

});

----------------------------------------------------------------------------------------------------------------------------------------------------------------

E esse é o print do Formulário pop up que fiz em asp e javascript e que funciona certinho gostaria de montar o modal dessa maneira

Sendo que os campos de e-mail e cadastro de senha sejam obrigatórios, o campo de selecionar atendente não precisa de nenhum comando apenas para o usuario ver que tem alguém online, e quando a pessoa clica em prosseguir os dados do formulário tem que ser enviado para mim por e-mail e só assim ele consegue avançar ou sair do pop up para poder ter acesso aos conteúdos da pagina. 

se alguém puder me ajudar agradeço, pois tem alguns dias que estou quebrando a cabeça e procurando na internet mas não obtive sucesso.