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mobile website part - form to be sent

What I have:

Template in jQuery for the first and second page are already done.

The first page only shows a logo - the second shows 3 input fields for the user.

Graphics and navigation are already done for this.

What I need is a form for the mentioned 3 fields to be forwarded to an email-adress.

The input fields are #1 - a customer code #2 - phone number, number #3 - a country pulldown menu.

The input data need to be forwarded then to an email-adress and showing the user a short message that the data where sent.

That´s it.

Compétences : HTML, HTML5, Javascript, jQuery / Prototype, Mobile App Development

Voir plus : in sent, what is mobile first, jquery is mobile, SENT, mobile website jquery, mobile number data, menu form, jquery menu navigation, jquery mobile menu, mobile form, need mobile phone number, jquery mobile navigation, jquery navigation menu mobile, jquery mobile navigation menu, code input mobile, jquery form email, page jquery website template, jquery email template, customer data phone number, jquery phone, graphics mobile phone, website mobile website, mobile page website template, data graphics javascript, jquery navigation menu

Concernant l'employeur :
( 1 commentaire ) Spain

N° du projet : #2399792

11 freelance ont fait une offre moyenne de 50 $ pour ce travail

babysoftS

Dear Sir, Proficient in Juqery Mobile, HTML5, CSS3 etc. I can send the required 3 fields in email. thank you Vibhor

30 $ USD en 0 jours
(36 Commentaires)
6.7
dinotech

Hello Sir, Hi we are interested in doing this project and ready to start immediately. A Small Description About Our company: Wtechsolutions Web Technology is an India based web design Company with gre Plus

200 $ USD en 8 jours
(41 Commentaires)
6.2
ALSOFT10

Lets start the project. We are ready to do it.

30 $ USD en 1 jour
(43 Commentaires)
6.2
drnsolutions

We checked your post and understood as well. For detail bid please check private message board(PMB). Thanks.

250 $ USD en 4 jours
(10 Commentaires)
5.0
miftkhar

Experienced HTML5 ,Jquery Mobile and javascript. Read to do this job. Thanks.

30 $ USD en 1 jour
(9 Commentaires)
4.6
phpism

Hi. i can do that right now, contact me to start now.

30 $ USD en 1 jour
(11 Commentaires)
4.6
fachauy

Hi, I'm an experienced web developer. I have more than 10 years in area. I can do the job, start right now and do it fast with quality and till 100% satisfaction. I attached a list of earlier works, also you can check Plus

50 $ USD en 0 jours
(8 Commentaires)
3.9
synan54

hi ready to work

30 $ USD en 1 jour
(13 Commentaires)
3.5
anhouse

Good day. Please find details of the proposal in your pmb

50 $ USD en 2 jours
(1 Commentaire)
1.4
mjacoup1

hello sir I have professional experience in similar projects and already did similar work last month My offer is to do this project in the best quality at lowest price, and shortly

40 $ USD en 10 jours
(0 Commentaires)
1.0
SiliconLeaf

New to the forum but not to the industry

30 $ USD en 2 jours
(1 Commentaire)
0.0
VishStudios

I'm a developer based out of New Jersey, USA that can complete this project for you in a timely manner. Once you have awarded the project to me, I will setup your form in record time. I can have the 3 fields forwarded Plus

35 $ USD en 0 jours
(0 Commentaires)
0.0