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very basic form submission website

This project received 28 bids from talented freelancers with an average bid price of $140 USD.

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Employer working
Project Budget
$30 - $250 USD
Total Bids
28
Project Description

Hi freelancers,

i require a quote to design a simple website. the quote should include both the coding / functionality as well as the graphic design. I have purchased the domain name but no hosting as yet. It is a simple form submission that should email through to me a persons details for me to follow up. I am using this as a salesperson to collect leads.

something like this - [url removed, login to view]

Thank you for your time freelancers

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