Offline Question Form


I need a simple offline question form software.

The software must have:

- My Logo

- A bar where you can enter your email address (see image)

- A bar where you can enter your (short) question (see image)

- A submit button (see image)

- A "How It Works" link that opens a new window with information (see image)

How it needs to work:

- When pressing the submit button, it needs to sent users entered email + question to my e-mail.

- A Thank you message when it's done.

- The application must be 1 file that works without installing anything (and working on every PC).

Please check out the attached image, i want to look it that way.

p.s. I also want the source code so i can make changes later if neccesary.


Skills: Data Processing, Graphic Design, Software Architecture

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About the Employer:
( 0 reviews ) Eindhoven, Netherlands

Project ID: #1259545

7 freelancers are bidding on average $100 for this job


Hello please see pm.

$100 USD in 1 day
(16 Reviews)

Hi Kindly check your PMB

$70 USD in 0 days
(3 Reviews)

Looks very easy. I have a good idea how it should be done. Check your PM, please.

$50 USD in 10 days
(1 Review)

Hi, I am Dhas Karthick from Marlen Infomedia who can work on this project. Please see PM for details. Cheers, Dhas karthick

$80 USD in 2 days
(5 Reviews)

can we discuss details in chat session?

$200 USD in 10 days
(0 Reviews)

Hi, I can complete this project very quickly and with high quality. Please check PM.

$100 USD in 0 days
(0 Reviews)

Please check Your PM!

$100 USD in 2 days
(0 Reviews)