In Progress

Enquiry Form

An enquiry form for a site where visitors will be able to input information required.

Form will need to have the following fields:various text input fields for name, address, city, country, zip, email, tel, company details, a date of birth drop down box, a radio button field 2 check box fields 2 text area fields which will allow for typing in comments and other required information a security field (captcha or similar) background invisible information needed: capture of IP address capture of date and time a submit button quick and easy.

Skills: HTML, Joomla, MySQL, PHP, Website Design

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About the Employer:
( 6 reviews ) Johannesburg, South Africa

Project ID: #1120956