We Need A Form Built For Our Website

Avg Bid (USD)
Project Budget (USD)
$30 - $250

Project Description:
Let's make this simple!
We are a glass company in Ontario, California that sells shower doors.
We need an online quote form that mimics the one found here: http://showerdoorswholesale.com/online_quote.html
I'm not too sure how long this would take for someone who knows what they're doing.
So please place your bids based on flat rate finished product price, not hourly.
Thanks in advance, and good luck!

Skills required:
eCommerce, HTML, Shopping Carts, Website Design
About the employer:
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