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Add Contact Form to Website

I need a good contact form added to this web page:

[url removed, login to view]

The contact form will go where the large image currently is on the right side. The fields to include are:

Name

Business

Email

Phone

Subject

Query ( a small box to submit the nature of their enquiry)

Anti-spam Captcha box

Users submit the form and the results are sent to an email address. Must be clean looking and 100% reliable

This should be a quick job for any decent developer. Possible future work.

Budget - $30

Compétences : Traitement de Données, Formulaires électroniques, HTML, PHP, Design de site internet

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Concernant l'employeur :
( 23 commentaires ) Caloundra, Australia

N° du projet : #1028244

Décerné à :

freeworks

Please check my PM

30 $ USD en 0 jours
(226 Commentaires)
7.1

81 freelance ont fait une offre moyenne de 30 $ pour ce travail

KESHAVINFOTECH

Hi BoomerangDesign, Checked ALL the points, Provide you CONTACT FORM with all standard validation and captcha - Please check PMB. :-)

30 $ USD en 1 jour
(637 Commentaires)
8.3
eemon

Dear Hiring Manager, Professional and quality work is my prime concern. Please check PMB for further details and allow me to do the job. Thanks Eemon

30 $ USD en 0 jours
(480 Commentaires)
8.2
agilesols

lets do it...

30 $ USD en 0 jours
(222 Commentaires)
7.6
imwebdesigner

please see pmb

30 $ USD en 2 jours
(292 Commentaires)
7.5
ntiersolutions

Hi, please check your pm.

30 $ USD en 1 jour
(340 Commentaires)
7.4
pandeypriya2003

Hello, Ready to this job in a professional way. Thanks, Preeti

30 $ USD en 1 jour
(435 Commentaires)
7.3
gautam07

Ready to [url removed, login to view] check my pmb

30 $ USD en 0 jours
(370 Commentaires)
7.3
natgeo

Please check Inbox. Thanks

30 $ USD en 1 jour
(156 Commentaires)
7.2
InnovisionLab

Hi, Let the experts handle it for you, quality work in affordable price. Over 5yrs working experience in PHP/JOomla/CSS/xhtml/Ajax/jquery . Regards

30 $ USD en 1 jour
(52 Commentaires)
7.0
templatesale

Ready to start and finish the form work with in few hours. Kindly check PM. Thanks.

30 $ USD en 0 jours
(146 Commentaires)
7.0
eelance

i can do that for you.

30 $ USD en 0 jours
(387 Commentaires)
6.9
Dunkoh

Ready for service!Thanks

30 $ USD en 0 jours
(112 Commentaires)
6.9
Samtiger2

Let's Begin.. Hope to achieve next positive feedback from you...

30 $ USD en 0 jours
(80 Commentaires)
6.8
webzin

Lets get it done.. Thnx Webzin Team [url removed, login to view]

30 $ USD en 0 jours
(87 Commentaires)
6.8
shmai

Ready to start!!!!!!

30 $ USD en 1 jour
(99 Commentaires)
6.7
mhanif

Please Check PM

30 $ USD en 1 jour
(177 Commentaires)
6.5
ansi2

Ready to start

30 $ USD en 0 jours
(104 Commentaires)
6.4
kopila123

please view pm

30 $ USD en 1 jour
(118 Commentaires)
6.3
webguru47

Hi, please check pm

30 $ USD en 1 jour
(48 Commentaires)
6.3
mkinternation

Please check your inbox for details.

30 $ USD en 1 jour
(84 Commentaires)
6.2