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Simple Web Form

I need a simple one page web form so users can submit data and when submitted it is emailed to about 4 people.

I know its easy but I dont have time to do it.

I need it quickly within 1 day. I will need the ability to easily change who gets the emails too.

See attached file.

Evner: Javascript

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Om arbejdsgiveren:
( 45 bedømmelser ) phoenix, United States

Projekt ID: #130632

36 freelancere byder i gennemsnit $31 på dette job

lightcresent

Will be done within next 2 hours... Thanks

$30 USD in 0 dage
(55 bedømmelser)
6.7
cheapestandbest

can start and finish this in one hour. waiting for your selection

$30 USD in 0 dage
(48 bedømmelser)
6.6
TakeReal

I can create web form according to "[login to view URL]". When user click "Submit Form" my PHP script will send user's input via e-mail to 4 people. You can redefine list of recipients. Can be done today. Escrow deposit is req Flere

$40 USD på 1 dag
(188 bedømmelser)
5.8
neoconcepts

let me do , see pmb.

$30 USD in 0 dage
(9 bedømmelser)
4.9
natgeo

Please see PMB. Thanks

$30 USD in 0 dage
(26 bedømmelser)
5.3
evileyestudio

Please check your PM.

$30 USD in 0 dage
(15 bedømmelser)
4.7
umairg

please check ur pm

$30 USD in 0 dage
(8 bedømmelser)
4.1
Olms

Hi I can do this in 3 hours today for 10$

$30 USD på 1 dag
(2 bedømmelser)
4.0
selfeky

ready to start.

$30 USD in 0 dage
(4 bedømmelser)
4.0
fahdi

I have already done it. Just accept my bid and grab it from me!

$30 USD in 0 dage
(3 bedømmelser)
3.8
lestervan

Hi, pls check PMB. Thanks, Lester.

$30 USD in 0 dage
(7 bedømmelser)
3.2
jamesghansen

I would appreciate your business and a opportunity to work on your project. Will complete the project to your satisfaction. Thank you for your time.

$30 USD på 1 dag
(2 bedømmelser)
3.1
Ellemer

Hello, I can start now

$30 USD på 1 dag
(1 bedømmelse)
2.7
worksoft

Hello, Quick quality work assured. Please check PMB. Thank you.

$30 USD på 1 dag
(2 bedømmelser)
2.5
AplusEsolutions

i can do it just for few 10$, lets start and get done. thanks '

$30 USD på 1 dag
(2 bedømmelser)
2.4
okidokz

Please checkm PM. Thanks.

$30 USD in 0 dage
(3 bedømmelser)
2.2
doitfast

pl see PMB for more details

$30 USD in 0 dage
(1 bedømmelse)
2.2
webdesignpros

I can start right now! On the weekend, I am available all day. I can do forms professionally, the after-results. Please hire me!

$30 USD in 0 dage
(1 bedømmelse)
1.6
DyaDya

Yes, it's easy work. But, wath site? Where it needs? Wath emails? I'm, think, create it quickly.

$30 USD in 0 dage
(2 bedømmelser)
2.0
semsudin

A lot of expirience in web!

$30 USD in 0 dage
(1 bedømmelse)
1.0