Contact form in PHP with date picker. Needed today.

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Bids
31
Avg Bid (USD)
N/A
Project Budget (USD)
$30 - $100

Project Description:
Contact form. Smalll job. Needed today. Nicely formatted in CSS. PHP.
Thank you page. I would like you to use a date picker similar to this one http://www.rainforestnet.com/datetimepicker.htm
Form will have 9 fields including one drop down.
Thanks Nicky

Skills required:
PHP
About the employer:
Verified
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