In Progress

Make Contact Form With cool upload photo and all data to dat

I need a good contact form for my web page:

must be safe

The fields to include are:

Name

address

Email

Phone

comment

Query ( check fields)

Anti-spam Captcha box

Users submit the form and the results are sent to an email address. Must be clean looking and 100% reliable

This should be a quick job for any decent developer. Possible future work.

Budget - $30

Skills: jQuery / Prototype, MySQL, PHP, Website Design, XML

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About the Employer:
( 3 reviews ) stadskanaal, Netherlands

Project ID: #1593932

Awarded to:

serpentscode

Hello, I've made a lot of contact forms and I can start right away. Andy.

$30 USD in 0 days
(32 Reviews)
4.7

16 freelancers are bidding on average $46 for this job

websree

We are ready to do this small form. Please check pmb for more details.

$30 USD in 0 days
(182 Reviews)
7.6
gslogics123

Respected Sir Ready to deliver in 30 min. Please check the message box regards Ashwin

$30 USD in 0 days
(209 Reviews)
7.2
freeworks

hi,i saw your project description. I will do that on time. I will do custom design and coding for you. Please check my profile and portfolio.thanks

$30 USD in 0 days
(208 Reviews)
7.0
ExcellenceonPHP

I AM READY TO START THIS IMMEDIATELY.LETS GO.I HAVE EXP OVER 6 YEARS ON PHP,MYSQL,JS,AJAX,XHTML.LETS START THIS.

$30 USD in 0 days
(136 Reviews)
6.6
AdamsK

Ready for service sir, thanks.

$30 USD in 1 day
(70 Reviews)
5.5
honeyweb

Ready to start as per your guidelines, Please check your PMB!!!!!

$30 USD in 1 day
(38 Reviews)
4.7
husnainali

Hello, These are some my references: 1)In below site I used HTML, CSS, Jquery, and PHP: http://www.keenconstructions.com.au/ 2)In below site I used HTML, CSS, Jquery: http://www.backtier.com/dev/ 3)In below More

$30 USD in 2 days
(5 Reviews)
2.6
itSoftProjects

i have done same work many times

$30 USD in 2 days
(3 Reviews)
1.8
PixelWebTech

Have read your updated scope as per the clarification board. Ready to start immediately. Please check private message. Thanks

$60 USD in 3 days
(1 Review)
3.1
sachin9785

i cpmpleted this task moor times .if you want to see the demo contect me

$30 USD in 0 days
(0 Reviews)
0.0
suleman05cs32

Hi everything is clear i can make it urgently for you with the decent look, i have 2 years of experience in php, mysql, jquery,css,javascript,html

$30 USD in 1 day
(0 Reviews)
0.0
prashoo7

I can do this job quickly...

$30 USD in 1 day
(0 Reviews)
0.0
excellentweb

Hello sir, i can make the contact form as per your requirement. Please check your pmb. Thanks

$30 USD in 1 day
(0 Reviews)
0.0
clickstream987

Hi, I am ready to work on it. you can see my portfolio at PM. I am waiting for your response.

$30 USD in 2 days
(0 Reviews)
0.0
shailpatel

I can provide you it in a day as you expected. Please see PM

$31 USD in 1 day
(0 Reviews)
0.0
sadidulislam

I am ready and an example of my work www.elsoci.com/registration.

$30 USD in 3 days
(0 Reviews)
0.0
P2tkH4Q3D

Pls check PMB.

$250 USD in 1 day
(0 Reviews)
0.0