Need PHP Developer To Clone A Form - repost 2

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Bids
29
Avg Bid (USD)
$110
Project Budget (USD)
$30 - $250

Project Description:
Im working on a project but i have so much going on i just dont have time to commit to complete this. All you have to do is make a form this is html/php basic stuff and should be done in 3 hours.

The form will have about 30 inputs.

Budget $30.

Skills required:
CSS, HTML5, MySQL, PHP, Zend
About the employer:
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