Implement Contact Form

Closed

I'm looking for someone who can implement the attached contact form on my website located here:

[url removed, login to view]

I need to have multiple departments which go to multiple emails. We should have the following fields:

Name:

Subject:

Department (sales/bililng/support):

Message:

I need this completed today. Thank you for your bid.

Skills: PHP, Script Install

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Project ID: #1430505

Awarded to:

thisko

Hi, i can help you with this project.

$10 USD / hour
(4 Reviews)
1.4

8 freelancers are bidding on average $11/hour for this job

sinisa

Hello, i am interested.

$15 USD / hour
(86 Reviews)
5.7
pinoycoder

hi there, i can to it quick.

$5 USD / hour
(45 Reviews)
5.2
atifmajeed12

Ready to do it.

$10 USD / hour
(28 Reviews)
5.1
aukint

Please check pm for details thanks.

$15 USD / hour
(22 Reviews)
4.5
lorandino

Hi. I would love to help you. This could be done in 1-2 hours, depending on your requirements. Let me know when are you ready to start!

$10 USD / hour
(9 Reviews)
3.5
HitarthRava

i can do this work within very short period at very low cost please allow me to do this task

$2 USD / hour
(0 Reviews)
0.0
bhavik119

hello sir visit http://gayatriwebs.in for my work Hope You will select and i will deliver best work with secure functionality

$19 USD / hour
(0 Reviews)
0.0