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inquiry form

Hi!

For a website i need a enquiry form.

The form have ~45 questions (Address, Email, Tel., Dates, Time schedule, Options, etc...) Some of the form-field must be mandatory. Some are Text, some are radiobuttons and some of the are checkboxes.

A condition is that fields must be "intelligent" ;) So if a field ask for a date of arrival the user can put only valid characters (in this case for example only numbers are accepted).

After the user answers all questions and press the send button i need only an email with the hole enquiry incl. the answers

So i need a html-programmer that can me deliver the html-code for this Enquiry form, which i implement in the CMS of [url removed, login to view]

please ask if there is any lack of clarity

Skills: HTML

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About the Employer:
( 0 reviews ) karachi, Pakistan

Project ID: #1291913

18 freelancers are bidding on average $31 for this job

ProgPro117

Ready to start now! plz check pmb.

$30 USD in 1 day
(26 Reviews)
5.7
canlan318

Hello. I am clear what you mean. I can start your project right now.

$30 USD in 1 day
(31 Reviews)
5.8
imtiaz1975

Bro, check your pmb

$45 USD in 2 days
(3 Reviews)
4.4
whitestardev

Hi. I can help you. Please check PM. Thanks.

$30 USD in 1 day
(9 Reviews)
4.2
jagzviruz

Hi, I can build you the form with complete validation. Since your hosting([url removed, login to view]) supports PHP, my form will not have any problem emailing you the data.

$30 USD in 1 day
(5 Reviews)
3.8
beyondbyte

Hi I am willing to take up this project. Let us discuss further via PM.

$30 USD in 1 day
(4 Reviews)
3.0
punchy11

Greetings! Will do for $25 also Ready to start ASAP:) Regards.

$30 USD in 1 day
(1 Review)
2.4
asandakelum

I'm a web designer from srilanka. i like to get your assignment and offer a high quality service . Thank you

$30 USD in 1 day
(0 Reviews)
0.0
luvaks

Hi,i have already design this type of website for a pathology.I would like to globalize my skills with you.

$30 USD in 3 days
(0 Reviews)
0.0
yatindrarao

hello sir, I can complete your project with quality.

$30 USD in 2 days
(0 Reviews)
0.0
ebayimp

Hi Friend, I can do this work for you.

$30 USD in 3 days
(0 Reviews)
0.0
bestwebin

Myself Gaurang workign as PHP Developer from last 4 years. I have worked on Zen-Cart, OSCommerce, Wordpress, ecommerce and Core PHP as well as customization. From Last 8 months I am working as freelancer. Than More

$30 USD in 1 day
(0 Reviews)
0.0
sbcs11

Your require work will be delivered within one day and your server should support PHP for sending mail

$30 USD in 1 day
(0 Reviews)
0.0
madnan10

I am ready to do this easy task

$30 USD in 2 days
(0 Reviews)
0.0
anandhpujar

am interested to work on your project please give me a chance to start my career on your [url removed, login to view] e-mail me. thanking you

$30 USD in 10 days
(0 Reviews)
0.0
dkk1987

hi i can start the work immediately.

$30 USD in 2 days
(0 Reviews)
0.0
prashantasne

Iam interested in this job.

$30 USD in 15 days
(0 Reviews)
0.0
iftikharsumn

Kindly check pmb.

$30 USD in 1 day
(0 Reviews)
0.0
sangram0202

I am working as web designer in MNC working more than five year. Having good experience to design website with php, CSS, java script, Photoshop, jQuery,MySQL,HTML5, HTML.

$30 USD in 3 days
(0 Reviews)
0.0