Send a Postcard

[point4design]

Not sure if this is the right board for this or not, please move if needed.

Has anyone setup a 'send a postcard' function using cmsmadesimple? Or do you have suggestions how I could set something like this up using existing modules (or combo of modules)? Something similar to this:

http://www.belfair1811.com/send_a_postcard.htm

Thanks for your help.