Simple php mail form

In Progress

I want a PHP email form. It will have 36 input fields. 6 of them will be radio buttons. I am attaching a screen shot of the form that I started so you can get an idea of what I want. The problem I am having is when I try to add more fields to the existing form it breaks.

I would like some of the fields to be optional. Meaning if the user decides to leave blank it's ok. But some of the fields I will insist they fill out.

On the email form that is sent back to me, I only need the information that is input separated by commas. I want it simple like that so I can just copy and paste in excel sheet.

Thanks!

Skills: PHP

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About the Employer:
( 6 reviews ) brooklyn, United States

Project ID: #667343

Awarded to:

twr1965

Please see pm

$40 USD in 0 days
(8 Reviews)
4.5

62 freelancers are bidding on average $44 for this job

lightcresent

Will give you auto excel download.. Thanks

$50 USD in 0 days
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8.9
revolutes

Ready to begin. thanks

$30 USD in 0 days
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8.4
BestWeb4U

We are group of highly motivated people having about 8 years of consolidated experience in the area of web design and development. We strongly believe in process and quality and religiously follow the same. We have goo More

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7.5
codersam

We are a team of dedicated, serious and highly experienced developers, 24x7 available, highly interested in your project. Please kindly check your PMB for more details. Thanks

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7.3
jkaushal21

Please check Inbox

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7.2
Monte1Media

Hi, i am interested in this project, and i have a solution for you. please check PMB. regards

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6.8
sritechnocrat

Please check PM.

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6.9
AStonetech

Your project is completed, please have a look at PMB. Thanks

$30 USD in 0 days
(128 Reviews)
6.5
webn

Please check PMB for my sample form works.

$30 USD in 0 days
(91 Reviews)
6.5
mantislin

Hi sir, let me do it now! thanks, kimi.

$30 USD in 1 day
(121 Reviews)
6.4
webphpworld

let us start.

$120 USD in 3 days
(55 Reviews)
6.4
dinhtoan

it can be done in hour.

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6.2
onedeepen

ready to start. please check PMB for details. thanks & regards, Deepen

$50 USD in 1 day
(49 Reviews)
6.0
utpal4job

Hello, Ready to start right away. Thanks.

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5.9
efflux

30 mins else free.

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(38 Reviews)
5.9
exitsol

Lets get started

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5.8
mhanif

:: Ready to Start Now :: Please Check PM ::

$50 USD in 1 day
(89 Reviews)
5.8
erwindraft

hi, i have read your req, and i can help you create the simple php mail form as you wanted..

$30 USD in 0 days
(87 Reviews)
5.7
himanshusofttech

Hi, please check PMB for details

$30 USD in 1 day
(33 Reviews)
5.7
brtodi

I can start the job after your selection but before selection please review my portfolio, Thanks

$30 USD in 0 days
(51 Reviews)
5.6