Single HTML form

I need a single HTML page with single form having 4 fields just as the attached image file. Please check the image and I need the exact design that is depicted on image.

Its a very simple design and work and I am estimating this job should be done in 1 hour by experts like you

I am offering $8 to $15 for this 1 hour job

Please don't bid above that


Skills: CSS, Graphic Design, HTML, HTML5, Website Design

See more: create reservation form html, email simple form html, web form html generator, twitter, seo, php, android, software testing, java, mysql, animation, css, html, website design, magento, software development, link building, wordpress, game development, 3d modelling

About the Employer:
( 2 reviews ) Los Angeles, United States

Project ID: #14677129