code form & insert into site

CLOSED
Bids
19
Avg Bid (USD)
$20
Project Budget (USD)
$10 - $20

Project Description:
refer attached, slice up 3 fields form, on click apply send to admin email, display "mail sent" notification
place form on banner area of site

Skills required:
CSS, HTML, PHP
Additional Files: form.png
About the employer:
Verified
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