Need PHP Form Script

In Progress

I'm a complete newbie to web design. I'm shaky on html and know nothing about PHP. My hosting company says that their generic script will not work for my form.

My form fields are name, email, radio button with two choices and comments. I would also like a captcha and would like a page saying stating that their information has been received after they hit submit. Can anyone help and assist me in getting this form up and running with my hosting company?

<form id="form1" action=" " enctype="text/plain" method="post">

<table id="table2">

<tr>

<th>Name:</th>

<td>

<input type="text" name="name" value="" /> </td>

</tr>

<tr>

<th>Email Address:</th>

<td>

<input type="text" name="email" value="" /> </td>

</tr>

<tr>

<th>Choose a Book:</th>

<td>

<br />

<input type="radio" name="book" value="aod" />

Acres of Diamonds

<br />

<input type="radio" name="book" value="btb" />

Byways to Blessedness </td>

</tr>

<tr>

<th>Comments:</th>

<td>

<textarea name="comments" rows="10" cols="40"></textarea> </td>

</tr>

<tr>

<th></th>

<td><input type="submit" value="Submit" /></td>

</tr>

</table>

</form>

Skills: Electronic Forms, PHP, Script Install

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Project ID: #525169

29 freelancers are bidding on average $48 for this job

voservices

we can do this task for you in less than hour.

$30 USD in 0 days
(27 Reviews)
7.7
ecodes

I had read the description and the code you have provided and the posting will be up and running successfully with few minutes. Kindly check pm for more details. Thank you, ecodes

$30 USD in 1 day
(102 Reviews)
6.4
haijerome

Hai buddy am ready to help you. Its so easy man. Thanx

$30 USD in 0 days
(22 Reviews)
5.1
vimmaniac

Would you please check pmb? Thank you.

$30 USD in 1 day
(58 Reviews)
5.0
developer99

Hi, I'm interested in working with you. I have more than 12 years of working experience in Web technologies like PHP, MySQL, SQL Server, HTML, Java Script, AJAX etc. I've successfully completed various web pro More

$30 USD in 1 day
(12 Reviews)
4.6
braincyber

Hi very easy task... Please check your PM ... Thank You

$30 USD in 0 days
(9 Reviews)
3.9
LChristian

Hi, I am an experienced php web developer with more than 3 years of experience. Read PM.

$30 USD in 1 day
(8 Reviews)
3.6
FastSolutionPHP

Dear Sir, Plz check PM. Thanx,

$30 USD in 1 day
(6 Reviews)
3.6
manishadk

please view PMB for details

$81 USD in 1 day
(6 Reviews)
3.4
atigas

Hi, I can assist you to develop your form. I'm experienced enough in form projects. For details, please refer to PMB. Thank you.

$50 USD in 1 day
(3 Reviews)
3.4
kk1618

I will take 2 hours to complete this project (with captcha and form handling). If you want to see sample of my previous work, its in your PMB. Awaiting my selection. ------------------------------------ I can commu More

$30 USD in 0 days
(5 Reviews)
3.3
eneinside

Ready for it, check your pmb!

$30 USD in 0 days
(5 Reviews)
3.1
axeacc

Hi, I have discussed few things in PM. Please have a look.

$35 USD in 1 day
(4 Reviews)
2.6
aatrapps

can give you a detailed insight on php and server side programming in general

$50 USD in 1 day
(5 Reviews)
2.0
rajaranajitlove

See pm all is there....

$30 USD in 1 day
(2 Reviews)
1.1
developerweb9

Please refer to PM for more details.

$30 USD in 1 day
(4 Reviews)
1.8
biskis

hi, i can do this form in a short time. Please check pm for more details.

$30 USD in 1 day
(1 Review)
1.0
awagadre

Hi dear this is not aa big problem. i will solved this right now

$30 USD in 0 days
(0 Reviews)
0.0
sm0701

Renu Tec, works towards achieving customer satisfaction. Our ability to deliver what we promise takes us closer to that milestone. Our project management experience helps us achieve a thorough understanding of the proj More

$30 USD in 0 days
(0 Reviews)
0.0
abhihebbar

will do it very easily... let us start...

$30 USD in 2 days
(0 Reviews)
0.0