Contact Form - iPhorm AJAX

I need a new "Booking Form" made for our website, i would like to use the iPhorm Ajax form script.

Attached is an image of what i want the form to look like, however only the grey table for the the first section. Here is what our current form looks like - [url removed, login to view] and the same fields should be used as our current form.

I need this done ASAP!

Attached is the style of form we want with the drop down boxes/buttons etc..

Skills: Graphic Design, HTML, PHP, Website Design

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About the Employer:
( 77 reviews ) Sydney, Australia

Project ID: #4219710

8 freelancers are bidding on average $126 for this job


please check your pmb.

$191 USD in 5 days
(98 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

$250 USD in 7 days
(93 Reviews)

Professional developer, I can help you with this. PM me when you're ready.

$150 USD in 2 days
(4 Reviews)

Hi, I am interested to make your contact form as your explanation.

$120 USD in 5 days
(19 Reviews)

Skilled developer, let me do this starting now, just let me know.

$169 USD in 2 days
(4 Reviews)

ready to start please check pmb for my work details

$30 USD in 2 days
(2 Reviews)

Maybe me? I can do it.

$70 USD in 2 days
(1 Review)

Hello, I will do this work and ready to start now.

$30 USD in 0 days
(2 Reviews)