One Very Simple Order Form (no shopping cart/payment required)

This project received 40 bids from talented freelancers with an average bid price of $83 USD.

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Please see the image attachment for overview.
- Design of form is already done and sliced in table format.
- I will give you the html and css files. Also ftp info.
- Form require some security code to verify submission is by a real person.
- Form will send directly to the admin's email address. The order information will be listed out neatly in the email body text.
- No shopping cart. No payment. Purely text-only form submission.

Please state your price and bid. Thank you.

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