Online Form - adding multiple entries and adding features

Avg Bid (USD)
Project Budget (USD)
$30 - $250

Project Description:
- Want to be able to type more than one contact field, and dynamically add another field when one fields is filled, upto 5 fields etc.

- Make several modification to the Form Submission to modify submission template format.

- It will go through 3 reviews within the week.

- Additional Details will be sent via PM.

Skills required:
AJAX, Javascript, PHP, Website Design
About the employer:
Public Clarification Board
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