I want to create one contact Form in PHP

Avg Bid (CAD)
$4 / hr
Project Budget (CAD)
$2 - $8 / hr

Project Description:
I wanted to create one PHP Contact Form,
Form fields are
1) First Name
2) Last Name
3) Address
4) Contact Number

I am looking forward in $2.00/ Hour
And It will hardly take for Knowledgeable PHP Developer.

Hours of work: 1 Project Duration: < 1 week Skills required:
Graphic Design, HTML, MySQL, PHP, Website Design
About the employer:
Public Clarification Board
Bids are hidden by the project creator. Log in as the employer to view bids or to bid on this project.
You will not be able to bid on this project if you are not qualified in one of the job categories. To see your qualifications click here.