Need PHP Form Script

  • Status Closed
  • Budget $30 - $250 USD
  • Total Bids 29

Project Description

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>

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