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minor web design change

This project received 27 bids from talented freelancers with an average bid price of £8 GBP / hour.

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Skills Required
Project Budget
£5 - £10 GBP / hour
Total Bids
27
Project Description

Ok, i need my web enquiry form design chabnged ever so slightly to show exactly as per attached image. You will see that there was an attemtp to do this by another freelancer but it is not as per the image attached. Please do not take this on unless you can get it exactly as per attached example jpeg. Thanks.

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