Custom Contact Form

I need an email contact form created for an HTML page. Must be secure and use this captcha script:

[url removed, login to view]

The form needs to be compatible with smart phones and mobile devices, so no flash. Just HTML and PHP.

It needs to match the colors and style of the sample form currently on the page exactly. Should be complete with a "message sent" confirmation page, as well as error messages for specific fields if they are left blank.

I'm looking for someone who can do this quickly and easily, and is ready to work now. Max budget is $30.

Skills: HTML, PHP, Script Install, Website Design

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About the Employer:
( 24 reviews ) St. Petersurg, United States

Project ID: #1120104

Awarded to:


ready to start. thanks

$30 USD in 0 days
(40 Reviews)

4 freelancers are bidding on average $35 for this job


lets do it now.......thanks

$30 USD in 0 days
(124 Reviews)

Hello. Please check PMB?

$50 USD in 0 days
(22 Reviews)

hi sir please check pm

$30 USD in 1 day
(36 Reviews)