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

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Concernant l'employeur :
( 1 commentaire ) Spain

Nº du projet : #2399792

11 freelance font une offre moyenne de $50 pour ce travail


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

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 0 jours
(36 Commentaires)

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

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 8 jours
(41 Commentaires)

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

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(43 Commentaires)

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

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 4 jours
(10 Commentaires)

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

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(9 Commentaires)

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

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(11 Commentaires)

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

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 0 jours
(8 Commentaires)

hi ready to work

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(13 Commentaires)

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

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 2 jours
(1 Évaluation)

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

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 10 jours
(0 Commentaires)

New to the forum but not to the industry

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 2 jours
(1 Évaluation)

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

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 0 jours
(0 Commentaires)