An Email Form With Email Verification

An Email Form With Email Verification

Hi,

Here's my basic form:



I want users to be able to write a message & send it to a recipient email  of their choosing.  I want to collect the senders email address, but don't want their email address to be kept on record in a database with the rest of the fields data.  Instead the email will be sent from a singular address such as test@abc.com.

So to clarify, from the above form the following will be produced:

Email Recipients Address - [recipients email field]
Email Message - [message to recipient field]
Email From - generic address owned by me (i.e: test@abc.com)

Also kept on record, but not sent to email recipient - senders email - [your email field]

Additionally, I would like to verify the "your email" field by sending a verification email if at all possible?

Is any of this possible using Zoho?