Part Request IIS Email Form

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Bids
13
Avg Bid (USD)
$190
Project Budget (USD)
$30 - $250

Project Description:
I am looking for a webpage to publish on my internal IIS server to allow a user to fill out a simple form as shown in the attached screenshot and have the resulting content emailed from the webserver to a set of users.

The code should limit the appropriate fields so that text cannot exceed the max characters.
Windows username of the the person submitting request should be appended to email.
Each field Name should have a "hover" option to allow us to show instructions about the field.

I want something simple and easily editable for future changes. Must run on IIS and internet explorer (firefox/chrome not allowed on our computers).

I would be ok using a mailto function that calls the local email client if that is easier than having the server send the email.

Skills required:
HTML, PSD to HTML, Website Design
Additional Files: part request.jpg
Hire emcg
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emcg United States
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