Website development and changes in html website - repost

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

Project Description:
We need 2 filling forms to put on our 2 html websites so that when someone comes to our website they fill out the form and we receive all details via Email.

The form will be very similar to this:

Skills required:
HTML, jQuery / Prototype, PHP, Website Design
About the employer:
Public Clarification Board
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