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Simple Page Html Contact Form

Required skills: Website Design

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We need to have a 1 page simple HTML contact form using email-form.com script. We have purchased the script and have installed on the server but need HTML page and contact form created. We have a PDF brochure that contains 90% of the information we want to ask with the online form. The form's option will be to save results to a XLS for spreadsheet and email to multiple emails with thank you page for more contact. All is possible through the installed script. Manuals available if needed.


Posted In:

Website Design



Related projects:

HTML contact form 5 fileds CGI to email, NO php.  

hange email address where it will be emailed to.
I don't want any security windows popping up from Windows saying you message can be viewed by others on the net.

Keep it all very simple and straight forward for me to Edit the send to email address.

Most sites I will use it on DO NOT HAVE ASP OR PHP hosting.

Nothing fancy, Just needs to be simple, look professional and work.

NyroModal Window HTML contact form  

mat)
Phone number (with formatting)
Company Name
Number of employees

Areas of Interest (check boxes)
Health & Wellness Programs
Flexible Spending Account (FSA)
Health Reimbursement Account (HRA)
Health Savings Account (HSA)
Self-Insured Health Plans
COBRA Administrative Services
Workers' Compensation
Physician Recruitment

Comments (Free-form text)

HTML contact form coding, VERY EASY  

Task:

Need a HTML contact form coding, the contact form is ready at:
http://www.asiacrops.com/contact.html

Budget:

USD$ 30 or less

Simple PSD to HTML/CSS One Page and Contact Form  

gn=right style="padding-left: 20px; width: 320px">


Additional files submitted: (Files are only available for logged in users)
haven-design.jpg

psd to html landing page with contact form  

ght style="padding-left: 20px; width: 320px">


Additional files submitted: (Files are only available for logged in users)
wedding+planner.jpg

Psd To Html + Css And Ajax Contact Form Needed Asap

ll provide all the graphics.
3 Pages include a homepage and 2 content pages,
We need this to be compatible with all browsers.

1. psd to html,CSS - 3 pages
2. contact form - when you click contact us, a dropdown ajax form is needed.
4 fields with validation: name, email, phone, Message box. all fields except phone are required fields.No database work.
form will send me the message and send a confirmation email to user. also a Thank you message on submit.

Add E-mail Contact Form to page

Hi all, very simple:

I have a simple e-mail contact form (HTML and Javascript),

I need it to be added/integrated seamlessly to an HTML page I will provide.

Need it within the hour.

Edit HTML Contact Form & Login/Password page for Website  

" height="1"/>

Additional information submitted: 12/07/2010 at 6:44 EST:
Just to explain when the customer logs in with there ID and password they are redirected to there own page, example : www.timegeniehd.com/147852369 the number being there customer ID, I just need the redirect, I will create the customers web page

Create Wordpress Contact Form Plugin

/J15Pbi" target="_blank" rel="nofollow">http://bit.ly/J15Pbi

I like the rounded corners and the captcha verification.

The plugin will need a simple admin settings page.

All code must be written by you, do not plagiarize or copy code from anywhere.

Also, I might need you for future updates, but we can work out a deal on that later.

When you place a bid, tell me how long it will take you to get a working version ready.

Thanks

Contact Form

need a contact form to send admin html mail exactly like attached image, but with extra field "contact number".

So 4 fields: name, email, contact number, message.

Also, send a "thank you" message to sender.

This is a simple job should take any gd coder 1 hour

Max bid 17 USD.


Contact Form Adaptions

I need minor changes for a contact-form in Javascript set up on static html-page.
Contact-form is installed and working.

Mainly field for image-upload must be added.
Small adaptions of other fields.
I would send you exact details.

I can show you url in pmb.

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Just need to fix contact form. Not sure why it's not working. Pretty simple and quick.

Contact Form .. Basic Php

($ 10) Need PHP Script for simple contact form,,
Just repair my current ContactForm & php script.. MUST test first on your side. ($ 10 max.)

psd to Facebook page and contact form

have 3 step you can see in attached, when the client complete the first step, only the center of the site changes to the second step and so on, the section of the site "Perchè usare miglior-preventivo?" must scroll down . Attention: I do not want it to load a new page.

We need a professional company not company or people that make us lose time.
Please bid only if you can made the job professional.
Good Job

Simple Javascript / HTML Search Form Code  

mall caps if that is possible.

So if I searched "New York" I would like to be taken to this Url: http://www.domain.com/area/new-york

If you can do this please bid. If you can show me the working code when u bid that would be an advantage. I basically need this work so whoever can show what I need, will get the project.

Cheers

One Page landing page with Contact form  

>


Additional files submitted: (Files are only available for logged in users)
Capture.PNG

develop teaser page with contact form  

I'm looking for a freelancer to develop a really basic teaser page that displays some information and includes a contact form linked to a database accessible via CMS and emails the contact info to the administrator.

Contact Form Change

Our client's website contact form requires changes.

We are attaching current form (PHP Code) and the form to be replaced (HTML Code). So that the information is send to a Email Service Provider.

The website is built on PHP code. As such when we replace the form it need to be compatible.

Please see attached form codes.
Please ask if you have any questions.

HTML-Contact-form  

it's going to take.


Additional files submitted: (Files are only available for logged in users)
contact-form.jpg

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