In Progress

Simple php form for website with SMTP Authentication

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

Skills: PHP, Software Architecture

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About the Employer:
( 7 reviews ) Bilthoven, Netherlands

Project ID: #4243860

Awarded to:


I am the expert here to help you with your project.PLease check my PM.

$35 USD in 2 days
(10 Reviews)

8 freelancers are bidding on average $89 for this job


Hello, Please read the accompanying private message. take care, lee

$60 USD in 4 days
(106 Reviews)

We can develop this mailing script for you, ready to start.

$180 USD in 3 days
(32 Reviews)

Hi Have Gone through your requirement and understood, we are very sure that we can do your needs with your entire satisfaction. We have left a PMB for you plz feel free to have a look over there. Thnx Ram Webzin I More

$200 USD in 5 days
(48 Reviews)

I am very much interested. Thanks

$75 USD in 2 days
(17 Reviews)

php expert is here.Having 8+yrs of experience.Ready to start Immediately.

$100 USD in 2 days
(46 Reviews)

Hi, I can do it perfectly. I have rich exepriences on this fields. Best regards.

$150 USD in 3 days
(21 Reviews)

Hello, I know exactly how to do this. More details on PMB. Regards, Andy.

$35 USD in 1 day
(7 Reviews)

Sir, I am very interested in your project.

$30 USD in 0 days
(2 Reviews)