Contact Form

$30-250 USD

Pågår

Lagt ut

omtrent 12 år siden

$30-250 USD

Betalt ved levering

I need a form with fill in blanks and drop down menus for a HTML 5 page and that the form is verifiable so that all the options are filled before it can be email back to me. I also need that once the form is submitted it emails to me. I should be able to change the drop down menu, email and questions. I am using Dreamweaver to embed the code I need it on a code base. I need the background to be light transparent grey and text off white: Name:___________ Phone:____________ Email:______________ Date that you want your video to be produced:______________ Which city tour would you like your video to be produced (drop down menu) -South Florida -Las Vegas -LA/Santa Monica -New York Package (drop down menu) -Package A -Package B -Package C -Special Video for: (drop down menu) -Solo -Couple -Group -Other Your budget for this video:________________ Comments:__________________ Send (button)

Prosjekt-ID: 1488070

Om prosjektet

19 forslag

Eksternt prosjekt

Aktiv 12 år siden

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19 frilansere byr i gjennomsnitt $55 USD for denne jobben

@rabbul

Please check PMB

$100 USD om 1 dag

4,9

(584 omtaler)

8,3

@Infenixwebs

Hi, I have experience in HTML and contact forms, please check your inbox, thanks.

$60 USD om 2 dager

4,9

(310 omtaler)

8,0

@rajdesign2009

PLEASE CHECK PM!

$79 USD om 2 dager

4,9

(182 omtaler)

6,7

@opengeek

GET IT DONE RIGHT NOW !I look forward to talking to you, further and getting started. Thanks Opengeek

$60 USD om 2 dager

4,8

(285 omtaler)

6,9

@GoranUsljebrka

Hi sir I am ready to finish this job

$40 USD om 1 dag

5,0

(78 omtaler)

5,8

@msahils

i would like to start your work asap, thanks.

$100 USD om 2 dager

5,0

(52 omtaler)

5,3

@sk57

Hello, I'm a professional designer. Please consult my private message to view my portfolio. I'm ready to work.

$30 USD om 1 dag

5,0

(10 omtaler)

5,3

@rfedorov

Hello, I'd like to work with you on this project. Let's do it right now! Please check kindly the private message. Regards, Roman

$50 USD om 1 dag

5,0

(27 omtaler)

5,5

@salientcomputer

Hi Please see PMB.

$100 USD om 1 dag

4,2

(217 omtaler)

6,5

@BompokCode

I can do it. Let's start.

$60 USD om 1 dag

5,0

(32 omtaler)

5,0

@RefluxLtd

Hello, I can do this project for you right away. If you award the project to me, I'll make it as easy as possible for you to customize the whole form. Sincerely, Artaex Media.

$30 USD om 0 dag

5,0

(2 omtaler)

2,1

@VinayJaga

Dear Sir, This is Vinay from India. I have 10+ years of experience in web technologies. I can complete this form work in short time. Do approve to initiate the project.

$30 USD om 1 dag

4,6

(1 omtale)

1,2

@sohomdutta

Well I wont say that I am the best but, I can say that i can work as per my commitment. Lastly, I can promise this will be a profitable experience for you.

$50 USD om 2 dager

0,0

(0 omtaler)

0,0

@timcherton

I can start right now.

$30 USD om 0 dag

0,0

(0 omtaler)

0,0

@normalize

I can achive this in a couple hours a very secured form witch will be filtered before submition and dynamic loading contact to avoid refreshes in our page to avoid the waste of bandwith. feel free to contact me im ready to start now send me a private message and we can start. i will be using php/html/css/jquery to give you the best form ever.

$30 USD om 0 dag

0,0

(0 omtaler)

0,0

@kingsolo50

Hi, I can design and code the contact form for you and you can have the code emailed to you in 48hours. I will modify/edit the form for free of charge once on-line

$60 USD om 2 dager