In Progress

Lightbox contact form

I need a very basic lightbox form similar to this one: [url removed, login to view]

orange gradient at the top instead of blue and half the height, orange gradient button

I just want you to create the code to place on my webpages and I want a link that will bring up the form (I will place the code on my web pages myself)

form will include: name - email - phone number - dropdown menu (and I will need to be able to change these values)

form will send submitted information to email address

If you need to clarify anything, please ask

Skills: HTML, jQuery / Prototype

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About the Employer:
( 21 reviews ) Orpington, United Kingdom

Project ID: #2543396

37 freelancers are bidding on average £65 for this job

gslogics123

Hello Sir Ready to deliver in 2 hours. Please chekc the message box Thanks

£25 GBP in 0 days
(124 Reviews)
7.0
kabirchy

hi, lets do it. easy to do and can be delivered in few hours. Thanks

£25 GBP in 0 days
(91 Reviews)
6.5
surajitsaha24484

We have gone through the project description.We are very interested about the job and ready to start the job.We are sending you some links of our previous html jobs.Please check the p.m for more details and the links o More

£23 GBP in 1 day
(76 Reviews)
6.2
vietwebdev

I have more than 4 years working in web development and I am able to start as soon as you need. Please check your pmb for more details

£30 GBP in 0 days
(47 Reviews)
5.8
randdythea

hi sir, let's do it ^_^

£30 GBP in 1 day
(99 Reviews)
5.7
codersam

Hi Sir/Madam, I can help you to develop contact form as per your requirement. I am highly interested and ready to start the job. Thanks

£30 GBP in 1 day
(25 Reviews)
5.6
dinotech

understood your requirement and ready to start.........

£30 GBP in 2 days
(23 Reviews)
5.5
muzkle

Ready to start, please check your PMB, thanks!

£20 GBP in 1 day
(75 Reviews)
5.6
pan09

if you can select me now I can get it done today . Check message board

£30 GBP in 1 day
(21 Reviews)
5.3
jamesinsoft

Hello, Ready to start the work on your lightbox form and deliver in your way. Thanks

£20 GBP in 1 day
(10 Reviews)
4.9
rajawi9999

********************************************.. 11 YEARS of EXPERIENCE .. ****************************************************** Hi. Ready to start; I can start right away. Thanks.

£25 GBP in 0 days
(22 Reviews)
4.8
kitty100

Ready to start. Please check PMB.

£30 GBP in 1 day
(13 Reviews)
4.6
AdamsK

Ready for service sir, thanks.

£20 GBP in 1 day
(41 Reviews)
4.5
waqas7803

Looking forward to work for you, ready to start now.

£20 GBP in 0 days
(37 Reviews)
4.3
isensebd

Please check inbox

£25 GBP in 1 day
(21 Reviews)
4.2
zamoldar

please check pm

£45 GBP in 0 days
(7 Reviews)
4.0
topfreelancers

Dear Thanks for posting this project on freelancer.com.we had gone through the description and understood what exactly needed to be done.Lets discuss in more detail.Kindly refer Private message for more details regardi More

£20 GBP in 1 day
(7 Reviews)
3.7
ChronicSoft

Hello Sir, I have done this job before and I am ready to start right now for your lightbox. Please check the PMB.

£30 GBP in 1 day
(15 Reviews)
3.5
imfsolution

Hi Sir! Please read PM. Thanks!

£20 GBP in 0 days
(6 Reviews)
3.0
malarissoftware

Please Check PMB

£25 GBP in 0 days
(1 Review)
3.0