Please check attached document.
Max budget is 55$ USD
You must pay attention to this requisites:
1- The module must be like this:Translations (this is the title for the module)
-Automatic translations, -Interpreters and -Translations (this will be inside the module as a link to the form, once clicked will open the form in the content part of joomla).
2- the form will be visible to public but to submit must first login or register.
3- must be easy to change language.
no time wasters