build a contact form html

This simple form will contain the following:


Our Quotation Reference:

Your Name:

Your Address:

In order to confirm your acceptance to Stage 1 and 2 of the quotation please tick the box below and then press the submit button at the bottom of the form. By doing so you are confirming the following:

1. You have read, fully understood and accept the terms outlined in the quotation that relates to this form (as per quote reference noted above).

2. You agree to pay for any services that you have requested PorthouseDean Limited to proceed with in relation to the main part of the quotation and any optional services as requested from the above (including any surcharges or uplifts) in full within 10 working days of the issuing of your invoice.

(Click Box) I confirm that I understand and agree to the terms and conditions outlined above


This form will direct to a Thankyou page, saying many thanks for your instruction to proceed. We will contact you shortly to arrange the site meeting. The form will be emailed to an address provided with a copy being sent to the clients email address on the form.

Skills: CSS, Graphic Design, HTML, PHP, Website Design

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About the Employer:
( 23 reviews ) farnham, United Kingdom

Project ID: #16006462

39 freelancers are bidding on average £21 for this job


Hi, I will make it in HTML and PHP. Relevant Skills and Experience 12 Years as a freelancer web designer/developer. [login to view URL] [login to view URL] [login to view URL] [login to view URL] jamesavlawfirm.c More

£88 GBP in 2 days
(812 Reviews)

Hi I am ready to start and I would like to discuss with you on this project. You can check demo here [login to view URL] Relevant Skills and Experience Please check my portfolio here: http: More

£18 GBP in 1 day
(472 Reviews)

hello , i have read your requirements and surely form will be developed accordingly , thanks Relevant Skills and Experience html , css , php Proposed Milestones £33 GBP - form

£33 GBP in 2 days
(205 Reviews)

Hi, I can build a contact form as described by you. We can have a discussion and start project. Relevant Skills and Experience I have expertise in PHP, HTML, Wordpress, CSS, MySQL, JS. With 5+ years of experience in More

£55 GBP in 1 day
(60 Reviews)
£18 GBP in 1 day
(70 Reviews)

Hi, I can do it ASAP. PHP, HTML5, and eventually bootstrap if it needs to be responsive. Relevant Skills and Experience php, html5 Proposed Milestones £20 GBP - Project milestone

£20 GBP in 1 day
(68 Reviews)
£18 GBP in 1 day
(54 Reviews)

Hi, I will provide you form as per your instruction. I have 5 year experience of this field. Relevant Skills and Experience HTML/CSS, PHP Proposed Milestones £18 GBP - On Start

£18 GBP in 1 day
(98 Reviews)

Hello, woo pro here I go get your stuff done for you professionally. Relevant Skills and Experience Please visit our work: [login to view URL] [login to view URL] [login to view URL] [login to view URL] looking forward to more More

£20 GBP in 0 days
(111 Reviews)

Please guide where the customer email will be mentioned ? 1-provide email credentials for sending email Relevant Skills and Experience i have been developing such stuff since 2003 Proposed Milestones £15 GBP - Final More

£15 GBP in 1 day
(91 Reviews)
£18 GBP in 1 day
(25 Reviews)

Hello i am experience webs developer i would love to do the contact form for you let's get connected to discuss more about the project Relevant Skills and Experience [login to view URL] [login to view URL] More

£55 GBP in 1 day
(48 Reviews)

Hello there, I am proficient in PHP, MySQL, Wordpress, HTML, CSS & Bootstrap technologies I am sure that I can deliver your project with high-end design and development. Relevant Skills and Experience 6 years of exper More

£10 GBP in 1 day
(8 Reviews)

I am a certified Web Designer +Graphic Designer having 5 years experience in relevant field with the extensive knowledge of Html5/css3,html5,bootstrap 4 and word press. Thanks Webnxa Relevant Skills and Experience More

£11 GBP in 1 day
(57 Reviews)

Hello Sir, we had build complex forms earlier ([login to view URL]). Please contact so we can talk regarding this work. Thanks Relevant Skills and Experience We are experienced in PH More

£16 GBP in 1 day
(14 Reviews)

Hi there, Just came across you job posting. You want a high end UI/UX specialist. Please check our design and work - [login to view URL] [login to view URL] Relevant Skills and Experience Desig More

£13 GBP in 3 days
(14 Reviews)

I am good in designing and development and have good understanding of HTML5/CSS3 and Bootstrap designing. I will give my 100% efforts to develop ready to launch project. Relevant Skills and Experience I am a Codeignit More

£18 GBP in 1 day
(8 Reviews)

Hello, i'm a fullstack web developer with strong knowledge of frontend. I've designed/coded hundred contact forms and i'm ready to build this one for you just like you described Relevant Skills and Experience HTML, CS More

£20 GBP in 3 days
(15 Reviews)
£30 GBP in 2 days
(12 Reviews)

I understand your form [login to view URL] you give me the chance i can do this easily... Relevant Skills and Experience CSS3, HTML5, BootStrap, Jquery Form Validation Proposed Milestones £13 GBP - Initial Milestone

£13 GBP in 1 day
(18 Reviews)