Closed

Contact Page

I need a contact form that works like the URLs here.I have posted this before but I think someone has hacked my account as I can not log in now.

[url removed, login to view]

[url removed, login to view]~teipeda/mail/

I would like a form with the following and designs to match the mockup on the page at the moment:

Name

Email

Phone

Subject

Massage

A "number picture" graphic that you need to type in to stop spanners

A tick box to send a copy to yourself

Could you give me a quote :-)

Regards

Skills: .NET, AJAX, C Programming, PHP

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About the Employer:
( 0 reviews ) Brugge, Belgium

Project ID: #527436

34 freelancers are bidding on average $31 for this job

flashraj

Dear sir, I am excited to start immediately and looking forward for your selection. Let me know more details. why you will choose me ? 1. No advance payment or escrow. Pay when completely done. 2. 5 year experi More

$30 USD in 0 days
(97 Reviews)
6.8
HidayahSoft

hi plz can u see Pm for i have listed two examples thr which i have done

$30 USD in 1 day
(38 Reviews)
4.7
WavelinkMediaLtd

Please check your PMB, thanks.

$30 USD in 0 days
(5 Reviews)
3.7
atigas

Hi, I can help you to build the form based on your requirements. Please check PMB. Thank you.

$30 USD in 1 day
(3 Reviews)
3.7
nhharis

Please see the PMB

$30 USD in 2 days
(2 Reviews)
3.7
sanatavopilif

hi! Ready to start now.

$30 USD in 1 day
(4 Reviews)
3.4
srsumon

please check your PM.

$30 USD in 0 days
(11 Reviews)
2.8
ataraxicstorm

I can do this for you right now. please see pm

$30 USD in 0 days
(5 Reviews)
2.2
rajaranajitlove

I will deliver it with in few hours ...see pm

$30 USD in 1 day
(3 Reviews)
1.1
biskis

hi, i rebid here and i can make your contact page. please check pm.

$30 USD in 1 day
(1 Review)
1.0
rxsuman

Hi, let's start.. please check PMB. Thanks

$30 USD in 1 day
(4 Reviews)
1.0
EONICS

We at Growth Technosoft understand your requirement and are confident of delivering the desired script.

$30 USD in 2 days
(0 Reviews)
0.0
humayun11

I have already function. Just waiting for your to do this

$120 USD in 1 day
(0 Reviews)
0.0
diamonddesigner

We provide you best services.

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

Ready to start now.

$30 USD in 7 days
(0 Reviews)
0.0
sachingupta1982

i develop all my projects in C#.NET, VB.Net especially CRM's and Content Management Systems. If you're new to the .net platform then stick with it, you'll soon realise how object orientated programming makes life so mu More

$50 USD in 5 days
(0 Reviews)
0.0
phpwidgetguy1

Looking to build feedback reputation here. Can provide in one day, complete with all specified needs. Thanks!

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

I'm software engineer having experience of 4 years in design and developing web applications using ASP.NET and C#. I'm having confidence that I could complete that in 2 days.

$30 USD in 1 day
(0 Reviews)
0.0
smartcoder2

Please see my private message (POST PM)

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

i program contact form very simple and strong Store form in databse OR send email

$35 USD in 3 days
(0 Reviews)
0.0