461343 Custom contact form for WP site

Completed Posted Dec 5, 2010 Paid on delivery
Completed Paid on delivery

Dear Programmers,

I need to create a contact form for my Word Press site with the following field (also see attached PDF spec sheet). The information should be stored in the database and delivered via email to a specified address with file attachment.

This form will go on the Registration page of the website. Please see here - [url removed, login to view]

Application Type (drop down)

Title (drop down)

First Name

Last Name

Zip

Phone

Email

Birthday (drop down)

Birthday Month (drop down)

Current Employer

Position

Bio (500 words)

Upload File (png, jpg, gif)

Submit (all field required)

Odd Jobs PHP Website Management WordPress

Project ID: #2207238

About the project

1 proposal Remote project Active Jul 11, 2012

Awarded to:

naoshad

Clear with requirements. Can start right now and finish ASAP. Please let me know if you have any query. thanks, Naoshad.

$40 USD in 1 day
(59 Reviews)
5.1