Cancelled

Fix a PHP page and do a new form page to capture information

I have need for someone to fix one broken PHP page and do do a new php page based on a form design. The PHP page should have a captcha prompt on the page. Also, on submitting, the page should email the collected data to an email address.

Budget 25 - 50USD.

Skills: AJAX, Javascript, PHP, Website Design

See more: fix php email for, fix broken, fix a broken, prompt page, php javascript address, php form fix, email php page, php page address, design email php, form page design, need capture data form, broken php form, fix php form, capture form data submitting, email data capture php, capture data, form fix, php page design, javascript information php, php page information, php capture email address, captcha fix, design email capture page, capture php javascript, capture email data

About the Employer:
( 8 reviews ) Alpharetta, United States

Project ID: #1544032

8 freelancers are bidding on average $350 for this job

sriraj1233

========== YOUR SEARCH ENDS HERE =======

$250 USD in 1 day
(102 Reviews)
5.7
logicshine

Thanks for your job post. We are ready to take up this work.

$300 USD in 3 days
(27 Reviews)
5.5
msahils

i would like to start your work asap, thanks.

$250 USD in 3 days
(37 Reviews)
4.9
thehero75

I'm web Developer & designer I can do it right now check pm

$250 USD in 2 days
(38 Reviews)
4.8
phaseonemedia

Heya, I can give you a hand. Regards, Brad

$250 USD in 0 days
(25 Reviews)
4.5
guyver1918

Hello sir, We are a web development company and we have a dedicated team of expert designers & developers having skills in web technologies and application developments. We have expertise in SugarCRM, Html, XHTML, More

$500 USD in 15 days
(0 Reviews)
0.0
X156QgzCZ

Pls check PMB.

$750 USD in 1 day
(0 Reviews)
0.0
robmilnes

NOTE: MY BID IS FOR £35.00 GBP. I can complete this task for you in 3 days. Mainly because I work 8am-5pm, so only have 4 or 5 hours after work. My bid states 3 days because I want to ensure all details are complete More

$250 USD in 3 days
(0 Reviews)
0.0