You can achieve that by the Webform module. or
Try the Simple Contest module
Simple Contest module provides contest system for Drupal websites.
Features:
- contests are nodes. multiple contests of multiple contest type can be run same time
- Two winner types : Users & Node, that means winners can be "user" or node"
- multiple winners can be chosen by ranking/weight
- Supports both automatic and manual winners selection
- Winner chosen rule will be based on View. so it is up to you to decide how the winner will be selected
- Modules integration with Views, Token, Rules, Userpoints, Date Repeat, Commerce Coupon, UC Gift Certificate & UC Coupon
- Token integration and customized E-mail notifications
Please note the this module is in dev version. So try that in local (test) environment.
