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Make Contact Form With cool upload photo and all data to dat

This project was awarded to serpentscode for $30 USD.

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Employer working
Awarded to:
Project Budget
$30 - $250 USD
Total Bids
18
Project Description

I need a good contact form for my web page:
must be safe

The fields to include are:

Name
address
Email
Phone
comment
Query ( check fields)
Anti-spam Captcha box

Users submit the form and the results are sent to an email address. Must be clean looking and 100% reliable

This should be a quick job for any decent developer. Possible future work.

Budget - $30

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