Terminé

Simple PHP Form

hey.. i need a simple php script that can take data from textfields/drop down menu's and email it to me.. real simple :)

1) drop down menu with 6 options which are:

Québec

Plus

Recommandation

Ami

Boutique

Club

2) 4 Text Fields with the following labels:

Nom:

Email:

Nom d'usager:

Mot de passe:

3) I want all fields to be mandatory, and I want it to email to my address:

gavin AT [url removed, login to view]

Thats all guys, real simple :) Let me know if you can do it for cheap I have a lot of new stuff coming down the pipe and I'll gladly give it to you if your fair :) Thanks!

Gavin

## Deliverables

1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.

2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):

a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.

b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.

3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).

## Platform

php, internet explorer

Compétences : Ingénierie, Microsoft, MySQL, PHP, Architecture Logicielle, Tests de Logiciels, Bureau Windows

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Concernant l'employeur :
( 81 commentaires ) Toronto, Canada

Nº du projet : #3174379

Décerné à:

priyaras

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3.8

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