Use a feedback form

I have php form and use it for a feedback.

<form>
     <table>
      <tr>
        <td>Name *</td>
        <td><input type="text"></td>
      </tr>
      <tr>
          <td>Email *</td>
          <td><input type="text"></td>
      </tr>
      <tr>
          <td>Phone</td>
          <td><input type="text"></td>
      </tr>
      <tr>
          <td>Field_check</td>
          <td>
             <input type="checkbox" value="1"><label>Check_1</label>
             <input type="checkbox" value="2"><label>Check_2</label>
           <input type="checkbox" value="3"><label>Check_3</label>
          </td>
      </tr>
      <tr>
          <td>Message *</td>
          <td><textarea rows="5"></textarea></td>
      </tr>
          <tr>
          <td colspan="2"> </td>
      </tr>
          <tr>
          <td colspan="2"> </td>
      </tr>
      <tr>
          <td><input type="button" id="subbut" value="Submit"></td>
      </tr>
     </table>
</form>

But I use this form in simple web page. How can it be used in WP template?