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Make my form look web 2.0 appealing w/captcha

I need someone to recreate my form to make it very visually appealing, web 2.0ish...

I have attached a picture of what it currently looks like, then also a picture of something I tried with an online web form builder, but ultimately, did not work...

I have also attached a copy of the form page...

Please have a couple samples of your work that you can show to me...

The most important thing is that the form elements must keep their current names so that I can enter that data into the database table...

Compétences : AJAX, CSS, HTML5, Javascript, PHP

Voir plus : online web work, what w, 9 w, web elements, web 2, online web page builder, form builder, enter captcha, javascript table copy, online page builder, web page builder, javascript form copy, online web builder, copy table javascript, javascript form show, web page database table, javascript copy table, javascript php form builder, names enter database, copy form, php database appealing, copy show names, online form copy, copy form data javascript, form picture

Concernant l'employeur :
( 9 commentaires ) Pevely, United States

N° du projet : #1048745

Décerné à :


Jquery UI expert Can start on it right away and get it done in a few hours. Please check message board for details

50 $ USD en 0 jours
(269 Commentaires)

6 freelance ont fait une offre moyenne de 58 $ pour ce travail


Hi,Let's get it done.Thanks,Bryce

75 $ USD en 2 jours
(207 Commentaires)

hi i can help, thanx, adnan

60 $ USD en 3 jours
(60 Commentaires)

Please read Pm for more details.

80 $ USD en 1 jour
(107 Commentaires)

I have enough professional experience (4+ years) to do it right and deliver high quality work.

35 $ USD en 2 jours
(0 Commentaires)

Looking forward to start the work Thanks

45 $ USD en 1 jour
(0 Commentaires)