java/jquery submission form

CLOSED
Bids
17
Avg Bid (USD)
$206
Project Budget (USD)
$30 - $250

Project Description:
I am looking for a copy of the 2 step heat bleed contact app on the following site: http://www.energyresponseforce.com/ If you enter the following UK postcode: m3 6fp (on the right of the page where it asks for a postcode) you can see how it works and takes you to the second page where you can alter the jquery dynamic options to adjust the price and ultimately it has a send script attached (which I would want to send to an email address) to pass the data back. Styling of the first page does not have to be fantastic it can be really basic it is more the second page with and the dynamic elements and the css involved. I am on a budget so please bid competitively, if you look at my stats you will see I always provide follow up work to my freelancers as I have countless projects ongoing (so please think of this when place bids). Make sure you also take the form through every step to understand fully the job you are bidding on; sample links etc to previous work would also be great. Look forward to your responses.

Skills required:
HTML, Java, jQuery / Prototype
About the employer:
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