Web Development Inquiry Form PHP

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I need to have a new "Web development" inquiry form created for my Joomla site. The form should look and function just like the one posted in the details document.

It should have the ability to upload .doc, .pdf, .xls

It should be written in PHP/HTML and be easily pasted as .html into Joomla's WYSIWYG editor.

Please show us a working demo within a Joomla site! Thanks

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