Web Form (HTML & PHP)

IN PROGRESS
Bids
89
Avg Bid (USD)
$38
Project Budget (USD)
$30 - $100

Project Description:
Create form & write answers to text file (csv)

I need a form created with the fields below. At the bottom of the form is a submit button. When the user click the submit button the field names and answers are written to a tab delimeted csv file saved to a specified location on the web server.

Name: Textline
Address: Textbox
Married: Checkbox
SpouseName: Textline
DateOfBirth: Date
AnnualIncome: Textline
Zone: Listbox – with options ‘A’, ‘B’ & ‘C’ able to be selected

Skills required:
PHP, Website Design
Hire BitbyBit
Project posted by:
BitbyBit Australia
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