In Progress

create a very simple feedback type of form

i need someone to very quickly create a form to collect

1) email address

2) name

3) contact number

4) address

this job needs to be done quickly. within few hrs if possible

example site will be given.

Skills: Javascript, PHP, Website Design

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About the Employer:
( 80 reviews ) Jakarta, Singapore

Project ID: #1273151

Awarded to:

atifmajeed12

Ready to start it right now.

$50 USD in 2 days
(30 Reviews)
5.1

9 freelancers are bidding on average $32 for this job

webofsolutions

please check pm....

$30 USD in 0 days
(269 Reviews)
7.1
asif03

Hi, I'm ready to start.

$30 USD in 1 day
(20 Reviews)
4.3
phobia82

I can code this form in a few minutes, take a look to my reviews about speed and quality.

$30 USD in 0 days
(17 Reviews)
4.3
tehnicsmart

Hello, i`m ready

$30 USD in 0 days
(12 Reviews)
3.7
dataentry17

Hi sir I m ready to start immediately. ##### PLEASE CHECK PMB ##### Thanks.

$30 USD in 0 days
(10 Reviews)
3.5
bratushka

ready to go

$30 USD in 1 day
(3 Reviews)
3.1
Rilog

Hello, mate !

$30 USD in 0 days
(4 Reviews)
2.6
akC90

times runnig..

$30 USD in 0 days
(0 Reviews)
0.0