Simple php form for website with SMTP Authentication

This project was awarded to sourov06 for $35 USD.

Get free quotes for a project like this
Project Budget
$30 - $250 USD
Total Bids
Project Description

I need a simple php form for my website with SMTP authentication.

The form needs to be put in the existing template of the website.

the form has four fields:

Voornaam (first name)

Achternaam, (second name)

Bedrijfsnaam (compagny name)

e-mail adres. (mail adres)

After the form is submitted its sends the contact details to a give mail adres and reguires smtp authentication.

The visitor gets a confrimation massage on the website and gets send back to the first page. and the given mail adres recieves the information.

I first like to see the lay-out of the form in an image. So i know how its going to look.

Im looking for someone who can do this task fast and not to expensive.

Thank you

Awarded to:
Skills Required

Looking to make some money?

  • Set your budget and the timeframe
  • Outline your proposal
  • Get paid for your work

Hire Freelancers who also bid on this project

    • Forbes
    • The New York Times
    • Time
    • Wall Street Journal
    • Times Online