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build a contact form html

This simple form will contain the following:

INSTRUCTION TO PROCEED.

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

(Submit)

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:
( 21 reviews ) farnham, United Kingdom

Project ID: #16006462

41 freelancers are bidding on average £21 for this job

revolutioneye

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

£88 GBP in 2 days
(801 Reviews)
7.8
webexpert0102

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

£18 GBP in 1 day
(440 Reviews)
7.4
sharpMind007

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
(192 Reviews)
6.8
£18 GBP in 1 day
(66 Reviews)
6.4
michealperfect

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

£20 GBP in 0 days
(91 Reviews)
6.2
jaunty77

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
(53 Reviews)
6.2
customizedata

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
(88 Reviews)
6.0
deepaulakh

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
(95 Reviews)
5.9
deep0209

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
(47 Reviews)
6.0
affaq359

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 [url removed, login to view] [url removed, login to view] More

£55 GBP in 1 day
(26 Reviews)
5.2
£18 GBP in 1 day
(18 Reviews)
5.1
£18 GBP in 1 day
(39 Reviews)
5.0
Majidsayyed

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
(7 Reviews)
4.3
mdopuisslam

I understand your form [url removed, login to view] 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)
3.8
£30 GBP in 2 days
(8 Reviews)
4.1
£18 GBP in 1 day
(12 Reviews)
3.7
crazyunix

you are welcome to chat with me and discuss your needs Relevant Skills and Experience im abdullah i lead into team ( web ,mobile and linux developers , designers , data entries) Proposed Milestones £15 GBP - fee

£15 GBP in 1 day
(18 Reviews)
3.7
raeesbaig

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

£13 GBP in 3 days
(8 Reviews)
4.0
hypemax

Hello Sir, we had build complex forms earlier ([url removed, login to view]). 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
(6 Reviews)
3.2
Davixe07

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
(12 Reviews)
3.0