Form for entering data and send via e-mail

IN PROGRESS
Bids
36
Avg Bid (USD)
$88
Project Budget (USD)
$30 - $250

Project Description:
Hello,

A small project is ready for a frelancer.

We would like a simple form built in HTML or PHP/ASP with some fields to enter data into, and also to be able to attach files.

When everything is entered customer should press "send" and everything should be e-mailed to our e-mail and a copy to the submitters e-mail.

If possible we would like to add a auto generated reference number to everey submition.

The form should look like this:

http://www.bring.dk/hele-bring/kontaktskjema/reklamation-pakker

So, hope someone is up for doing this little project...

Martin Brandt
Brandt Logistics.

Skills required:
ASP, HTML, HTML5, PHP
Hire BrandtLogistics
Project posted by:
BrandtLogistics Denmark
Verified
Public Clarification Board
Bids are hidden by the project creator. Log in as the project creator or as one of the bidders to view bids.
You will not be able to bid on this project if you are not qualified in one of the job categories. To see your qualifications click here.