Web Form (HTML & PHP)

This project was awarded to izua for $30 USD.

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Project Budget
$30 - $100 USD
Total Bids
Project Description

Create form & write answers to text file (csv)

I need a form created with the fields below. At the bottom of the form is a submit button. When the user click the submit button the field names and answers are written to a tab delimeted csv file saved to a specified location on the web server.

Name: Textline

Address: Textbox

Married: Checkbox

SpouseName: Textline

DateOfBirth: Date

AnnualIncome: Textline

Zone: Listbox – with options ‘A’, ‘B’ & ‘C’ able to be selected

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