PHP and JQUERY form redesign

IN PROGRESS
Bids
10
Avg Bid (USD)
$33
Project Budget (USD)
$10 - $50

Project Description:
Hello Ive got a page on my website which contains a form. I need this form to be redesigned. Its a maximum of 4-6 hours of work. Please only bid if you can start immediately and have jquery/javascript/css and php experience.

Skills required:
CSS, HTML5, Javascript, jQuery / Prototype, PHP
About the employer:
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