form setup on new site

IN PROGRESS
Bids
11
Avg Bid (USD)
$30
Project Budget (USD)
$10 - $30

Project Description:
I just need a form to be set up on a new site that should have all fields that are marked with a red Astrix to be mandatory to be filled in.
The form is uploaded at present (not functioning) on www.application-form.net for one to have an idea.
When submitted, the form should be sent to a email address.

That's it.
Quick and easy. No designs, no fancy work. Just a simple operational form.
Jimmy

Skills required:
Graphic Design, HTML, PHP, Website Design
Hire jimmyexcelente
Project posted by:
jimmyexcelente United States
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