HTML form code help

This project received 35 bids from talented freelancers with an average bid price of $73 USD.

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Project Budget
$30 - $250 USD
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Project Description

I am lookin for someone with HTML and website design to help me go over the html form that I have and make it submittable byemail when pressing a submit button, also need to make sure that the information is submitted in a secure manner.
Need project ASAP.
Only serious inquires.
Pay is negociable
I will provide more information as selection is done.

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