Make contact form with special design

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bnwebdesign

Hello, I\'m Ben - a creative freelance website designer from the UK. I\'d love to discuss your project in more detail to see how and if I can be of service. Please see my PM for more information. It would be great to h More

$145 USD in 3 days
(24 Reviews)
5.0

15 freelancers are bidding on average $67 for this job

sanjay2004

We can create an efficient form as per attached jpg file.

$81 USD in 2 days
(1113 Reviews)
9.7
raulp

I understand your project. I have an strong Designer and Programmer team that can handle this. My team have more than 10 years of experience. Thanks

$54 USD in 1 day
(249 Reviews)
7.4
s3p

I checked your attached image.We can do this. Thanks Saikat

$44 USD in 1 day
(38 Reviews)
6.0
Imaginehub

Hello, I Have Applied for your Job and also send my Portfolio. I am ready to start your work right now Thanks for your time and consideration.

$144 USD in 3 days
(90 Reviews)
5.8
i333

Hi there, I have seen it in detail and can get this done for you with great quality and in shortest possible time!

$51 USD in 2 days
(121 Reviews)
5.5
phpthebest

Hi, I can start now ,please check your message.

$49 USD in 0 days
(76 Reviews)
5.5
nuprogramer

I can deliver you exactly same design in HTML quickly. thanx

$147 USD in 3 days
(24 Reviews)
5.4
sautrik

Hello, We are a small team of experts specialized in the field of creative graphics designing solutions, having a good sense of creativity. Please check your private message section for more details. Regards, More

$64 USD in 3 days
(39 Reviews)
4.9
dezignercoder

I've seen attachment. I'll make same as mockup. Need 24 hours. Regards, Imran

$100 USD in 1 day
(27 Reviews)
4.5
monibinny

I am highly interested in your project. Please check my reviews and profile to know more about me. Thanks

$43 USD in 3 days
(10 Reviews)
4.0
lilambersinghsl

Please check PMB

$30 USD in 1 day
(31 Reviews)
4.0
mmagr99

I am expert plz check pm

$34 USD in 2 days
(5 Reviews)
3.5
mayanksm7

Ready to start:)

$40 USD in 1 day
(9 Reviews)
2.7
prashantgarje

I have much experience of these kind of forms will create and give the exact required form within hours. :)

$32 USD in 3 days
(6 Reviews)
2.4
Technospike

Hello Sir, I have read your description. I will design your contract form as you asked. I'm ready to work on it. Will give you quality work done. There will be no delay in my work. I will regularly update you v More

$155 USD in 3 days
(1 Review)
2.0
knightdev86

hello, let me help you. thanks

$40 USD in 2 days
(1 Review)
1.8