Email list of channel entries with quantity form field

Hi,

I’m trying to the think of a way to achieve the following:

I would like a list of channel entries with an input field next to the title so that a logged member can enter a quantity then email the list of to admin.

product          quantity

title 1                   1
title 2                   4
title 3                   3
title 4                   7
title 5                   2

Submit

This list would be sent to the admin as an email.

Thanks in advance

Wayne.