Fancy, pretty PHP contact form
This project was awarded to GFsoul for $30 USD.Get free quotes for a project like this
Project Budget$30-$250 USD
I would like a fancy/pretty PHP contact form with ajax validation. Fields as follows:
How did you hear about us? [text field] (watermarked Google)
Occasion [text field] (watermarked Wedding)
Event Date [text field / text field / text field] (watermarked DD / MM / YY)
Start Time [text field : text field : text field] (watermarked 7 : 15 : pm)
Finish Time [text field : text field : text field] (watermarked 12 : 00 : am)
Venue Name [text field] (watermarked Wick Farm)
Venue Location [text field] (watermarked Bath)
Is access via stairs? [Yes/No radio]
Title [text field]
First Name [text field]
Last Name [text field]
Email Address [text field]
Daytime Telephone [text field]
Evening Telephone [text field]
Prefered Contact Method [Telephone/Email radio]
Additional Information [textarea]
All fields except Additional Information are required.
The submitted form should be emailed to me.
Looking to make some money?
- Set your budget and the timeframe
- Outline your proposal
- Get paid for your work
Hire Freelancers who also bid on this project
Looking for work?
Work on projects like this and make money from home!Sign Up Now
- The New York Times
- Wall Street Journal
- Times Online