In Progress

Easy Form for reservation

I need an easy form with the following content:

- Date selection (DD/MM/YYYY) *

- Time selection (24hours) *

- Drop down box to select up to 6 options *

- Title

- Surname *

- First Name *

- Company

- Tel

- E-mail *

- Comments box

- Tick Box to choose, if newsletter yes or no

Content has to be sent to an e-mail address in a nice readable format.

* compulsory fields

Skills: AJAX, CSS, Javascript

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About the Employer:
( 8 reviews ) Kilchberg, Switzerland

Project ID: #1142234

Awarded to:

SourceBurner

Looks like a strait forward task, please take a look at PMB. Regards

$30 USD in 0 days
(50 Reviews)
5.1

7 freelancers are bidding on average $30 for this job

neelwt4u

Please check the pmb. With best regards

$30 USD in 1 day
(58 Reviews)
5.7
netbee

Hi i am willing to do this task , regards Sarah

$30 USD in 1 day
(39 Reviews)
5.2
saqibilyas

please check pm.....

$30 USD in 0 days
(6 Reviews)
3.7
phankhanh

Please check your PMB.

$30 USD in 0 days
(3 Reviews)
2.8
nipunsinghal

Ready to work..

$30 USD in 2 days
(5 Reviews)
2.6
itresumesha

i can do it. lets start now

$30 USD in 1 day
(1 Review)
0.0