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Easy Form for reservation

I need an easy form with the following content:

- Date selection (DD/MM/YYYY) *

- Time selection (24hours) *

- Drop down box to select up to 6 options *

- Title

- Surname *

- First Name *

- Company

- Tel

- E-mail *

- Comments box

- Tick Box to choose, if newsletter yes or no

Content has to be sent to an e-mail address in a nice readable format.

* compulsory fields

Evner: AJAX, CSS, Javascript

Se mere: need reservation, drop content box javascript, javascript date fields, javascript tick box, drop box javascript, drop content box, form newsletter, nice ajax form, easy date, nice drop, time reservation, time tick format, javascript format date, date format javascript, javascript date format, reservation form ajax, reservation need, newsletter ajax, form content, tel ajax

Om arbejdsgiveren:
( 8 bedømmelser ) Kilchberg, Switzerland

Projekt ID: #1142234

Tildelt til:

SourceBurner

Looks like a strait forward task, please take a look at PMB. Regards

$30 USD in 0 dage
(50 bedømmelser)
5.1

7 freelancere byder i gennemsnit $30 på dette job

neelwt4u

Please check the pmb. With best regards

$30 USD på 1 dag
(58 bedømmelser)
5.7
netbee

Hi i am willing to do this task , regards Sarah

$30 USD på 1 dag
(39 bedømmelser)
5.2
saqibilyas

please check pm.....

$30 USD in 0 dage
(6 bedømmelser)
3.7
phankhanh

Please check your PMB.

$30 USD in 0 dage
(3 bedømmelser)
2.8
nipunsinghal

Ready to work..

$30 USD in 2 dage
(5 bedømmelser)
2.6
itresumesha

i can do it. lets start now

$30 USD på 1 dag
(1 bedømmelse)
0.0