Create a web form for my website - repost

Budget $30 - $250 USD
Bids 25
Average Bid $116

I need a web form for my website [url removed, login to view] I currently have one there that I want replaced. The form must be;

Easily editable to add forms, change text, etc.
The form must email out the form data to a to be specified email address
The form must automatically email the person submitting the form a message with an attachment
The form must validate the email address

I would also like to edit the header image to remove the mission statement. I need a place that I can enter our mission statement that I could later edit easily.

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  • Georgia Profile Picture

    Georgia

    Tbilisi,  Georgia

    I am a web developer with 10+ years of experience. I am ready to work on any freelance projects. Also I am looking for a long term relationship with any development company or individual client. I have done more than 150 projects during these years and they are mainly related to web development. Only on this site you can find a lot of reviews from the satisfied buyers who found time to write a couple of words about my work. *** Education *** Georgian Technical University. Informatics. Master's degree *** Conditions *** I have some conditions that you will need to meet if you are going to work with me. I understand that there might be exclusions. In such cases please contact me to discuss. The conditions consist of the following simple and easy points: 1. Milestone Payments. Milestones are almost always required for trust, especially for the new buyers. 2. Payment Order. I should get paid fully before you get result of my work. If for some reason the work should be performed on your server then we will need to discuss the case. 3. Communication. I accept only written communication forms: Chat, Email, Freelancer PMB, etc. I can use Skype and other IMs if needed. 3. Support. In my bids I usually don't include free support. If you need it you should tell me about it BEFORE starting a project. 4. Project Scope. I will not do work above the original project scope. Please be ready that extra work will usually need extra payment. 5. Your Delays. Timeframes and deadlines don't include delays on your side. I expect to get reply to my requests/questions within the next 48 hours or less. 6. 3rd Party Problems. Any kind of 3rd party problems shouldn't turn into my problems. I will not accept complaints regarding to this matter. Usual causes: Server/Hosting limitations, encrypted scripts, network problems, etc.

    PHP, Java, Javascript, and XML

  • ThoughtSchool Profile Picture

    ThoughtSchool

    BH15 9EL,  United Kingdom

    Thanks for visiting. My screen name here in freelancer.com is ThoughtSchool. We have more than 4+ years of experience in Open Source Technology using PHP/MySQL. As a software developer we write computer program to perform specific task in order to solve problems We have the ability to work collegially along with the team or as an independent freelancer. We look forward to being hired by you.

    PHP, Javascript, XML, and .NET

  • ssusoftwarelab Profile Picture

    ssusoftwarelab

    Kolkata,  India

    PHP, MySql, CSS3, HTML5,Website Design, Graphic Design, Logo Design, CMS, Joomla, WordPress, CodeIgniter, etc.

    Java, JSP, .NET, and Website Design

  • praveen458 Profile Picture

    praveen458

    bangalore,  India

    computer programmer

    PHP, Javascript, XML, and Website Design

  • cutmyhtml Profile Picture

    cutmyhtml

    Greater Noida,  India

    I am a web development professional with hands in both designing and development. I am expert in Photoshop designing for websites, logos, teasers & banners. I am also well acquainted with open source platforms such as Wordpress, Magento, OpenERP, OS Commerce. Apart from these, I have also experience in core PHP and codeigniter. I treat any project like a baby and irrespective of costs how-so-ever big or small it may be, and supportive to the client from beginning to end. Sometimes, though, it happens that there may be some flaw [nobody is perfect] but with proper scheduling of the project and support from client, I personally take it to make everything clear. Work with me to know me better. I believe in building long term relationship. LETS EXPLORE BETTER OPPORTUNITIES TOGETHER!!!

    PHP, Website Design, Internet Marketing, and Logo Design

  • GRRASindia Profile Picture

    GRRASindia

    Jaipur,  India

    Over the last 4 and Half years, We have configured a wide range of servers, networks & security using Linux & other security tools. We have also experience in virtulization technology. VM & Redhat. We are a team of 50 professional experienced PHP, .NET, ajax, HTML5, iPhone, Android, Java developers and working on social networking, real estate, ecommerce websites, iPhone and android apps. We have 4 lease lines of 4 MBPS internet connection and acquired around 5000 Sq Ft space with 50 work stations. System and Networking Administration: 1. Installing, configuring & troubleshooting of Linux Servers and equipment like routers, switches for the customers. 2 Planning, designing & configuring network ensuring maximum network uptime. 3. Monitoring installation, administration & configuration of network and Servers. 4. Creating & managing user accounts & assi gning acce ss rights to use different application. 5. Configuring and troubleshooting application server, database server, desktop etc. 6. Taking back up of data and suggesting improvements in operation to make the system fault proof. 7. Involved in network monitoring and performance tuning. Technical Support: 1. Providing support to the end users, troubleshoot customer queries and setup of networks on different operating systems and all other hardware devices. 2. Extending high-end technical support on various servers and ensuring high customer satisfaction levels through solutions of their problems. 3. Planning and effectuating predictive & preventive maintenance schedules of various equipment's to enhance the equipment reliability and increasing machine up time. 4. Handling team of contractor and engineer for execution and installation purpose with team.

    PHP, Javascript, Adobe Flash, and Banner Design

  • gensoftgroup Profile Picture

    gensoftgroup

    Slough,  United Kingdom

    A Professional Technology Group

    PHP, Javascript, XML, and .NET

  • aliiqbal92 Profile Picture

    aliiqbal92

    lahore,  Pakistan

    Web and Graphic Designer

    PHP, Java, Javascript, and XML

  • prashant8490 Profile Picture

    prashant8490

    sabarkantha,  India

    PHP, Wordpress

    PHP, AJAX, Wordpress, and Software Architecture

  • mindblowcreative Profile Picture

    mindblowcreative

    Mandaluyong City,  Philippines

    In the year 2013, cyberspace was in a time rift. Technology started to travel at hyperdrive speed, leaving behind internet denizens who did not know if the innovations they faced were merely temporary trends or the true path of the future to come. Enter Maverick Heroes – Saviors of Cyberspace! We rocket-punch bad graphics, roundhouse loopy links, and energy-blast the crap out of bug-riddled programs! See us upgrade websites with our visionary spunk and cyber-cosmic power combos. Young, unyielding, and a bit off-kilter, we proudly launch cyberspace citizens into the 21st century. Forgive us this one use of convention: Just like other champions across history, we’ll let past missions speak of our legendary online heroism. Enjoy your journey!

    PHP, ASP, Java, and Javascript