SImple contact form

I require a simple contact form for my webpage.

This is what needs to be captured and e-mailed..... (cloning form from : [url removed, login to view])


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


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

Compétences : HTML, Java, Javascript, PHP, Design de site internet

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Concernant l'employeur :
( 302 commentaires ) Sydney, Australia

Nº du projet : #1023167

Décerné à:


I can get this done in less than a day. Please check PMB.

%selectedBids___i_sum_sub_7% %project_currencyDetails_sign_sub_8% USD en 0 jours
(7 Commentaires)

3 freelance font une offre moyenne de $43 pour ce travail


Hi Jason . Please Check PM

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(178 Commentaires)

Pls Check PM

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(21 Commentaires)