I require a simple contact form for my webpage.
This is what needs to be captured and e-mailed..... (cloning form from : [login to view URL])
Name
E-mail address
Confirm E-mail address
Choose Department (Drop down menu and sends to appropriate e-mail address)
Products (Drop down menu)
Message details
SUBMIT button
CLEAR button
No captcha required
** NO FLASH ALLOWED **
Must work with Safari and Firefox browsers
Delivery within 1 day of winning bid
Full escrow payment will be done as soon as project is accepted