Sign-up form with a twist HTML5

Completed Posted Sep 9, 2013 Paid on delivery
Completed Paid on delivery

Looking for a 1 page form for signing up. It has to request the following:

email address

first name

You will also have to give me the proper back-end setup script etc to make it auto email this information to a specific email address. Need this in the next 24 hours.

Must use the attached background image as attached.

CSS Electronic Forms HTML5 PHP

Project ID: #4911833

About the project

8 proposals Remote project Active Sep 9, 2013

Awarded to:

deluxecoders

Ready to start right away.

$17 CAD in 1 day
(3 Reviews)
2.0

8 freelancers are bidding on average $27 for this job

sam45

can do! please see PM

$30 CAD in 1 day
(91 Reviews)
6.3
rodelarode

I can do it now. Please select me. I am waiting for your reply.

$30 CAD in 0 days
(20 Reviews)
5.4
subhomayb

Ready to start. Lets talk.

$33 CAD in 1 day
(9 Reviews)
4.3
webdeem

Lets start, check PM

$30 CAD in 1 day
(4 Reviews)
3.3
Prakashshukla

I will provide you a form with send email feature & integrate your design. Provide you all code & help to integrate them. Plz give me a chance. Thanks

$25 CAD in 1 day
(3 Reviews)
2.3
Domelina

Hello, I can start working on this right away. Thank you.

$25 CAD in 0 days
(1 Review)
2.1
utkarshdayal

hello sir, please check your PMB.

$24 CAD in 1 day
(0 Reviews)
0.0