refer attached, slice up 3 fields form, on click apply send to admin email, display "mail sent" notification
place form on banner area of site
18 freelancers are bidding on average $21 for this job
Having 5+yrs of experience.Ready to start Immediately.Lets do it now.Send the admin and ftp details to start work now.Allow us to serve you once.Waiting for your reply.....
Sir, I have understood the requirement. in my vision these fields also have data validation for correct input. Mail should be sent to admin area in a professional email format. Let's discuss. Thanks