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I just gone through your project and understood its requirements and ready to start quality work with you. Can you send me the URL of your form where you want to change field.
take a look at PMB for our expertise.moreless
We are experts in PHP Open Source (any kind of PHP/MySQL work),wordpress and Ajax/Web 2.0 technology.
Some of the projects we completed for php are mentioned below
I am a designer & WP expert and my latest work:
Please message me to discuss more about the project.
Price is never an issue for me. More of work is shared
Lets talk more.moreless