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I am a highly qualified PDF developer and I can create your form with all the functions you would like.
However you can ask a web developer to insert the form into your website for like $10 - $20 bucks as it is a really small code.
I can create the email function which will open the default email program or the email website and attach the form to the email with the ID filled in automatically at which the PDF needs to be sent.
Please check the sample that I am attaching in my next message.
I'm professional and quality-conscious freelancer with more than 7 years of experience in graphic design and desktop publishing.
I have big experience in creating and editing pdf fillable forms, also I'm best qualified in Adobe LiveCycle Designer.
I can do the work, and you'll get it fast and high quality.