Create fillable PDF form with a button that will send the results to me by email - repost

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Bids
15
Avg Bid (CAD)
$24
Project Budget (CAD)
$10 - $30

Project Description:
Simple ABC project. I have a one-pager in Word that I need to become a fillable PDF form with SEND, SAVE, AND PRINT buttons that will do exactly that.

Additional Project Description:
11/01/2013 at 18:41 EDT
The form must be working on both PCs and Macs.

11/01/2013 at 18:59 EDT
Here's the PDF form that was created by another Freelancer that doesn't quite work on Mac.

Skills required:
Data Entry, Graphic Design, PDF, Website Design
Additional Files: INFORMATION SHEET.doc form that's not working.pdf
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