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Email Script Needed

I need an HTML form that will generate an email (and send it out ) dependent on the inserted form fields.

Basically, we are trying to automate our follow-up emails to our clients, but we need to personalize each one. I want my admin to be able to go to a link, fill out the required fields and send out that email.

The script must recall the inserted data and the output must be in an email (see attached)

I've created a fake form online to demonstrate what I am needing: [url removed, login to view]

I want a form similar to this (note the conditional fields - coordinator, coordinator email and type) and I need the output to be in email form similar to the attached document.

I hope I was able to clearly explain what I need. Please feel free to ask any questions!

Færdigheder: CSS, HTML, PHP

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Om arbejdsgiveren:
( 11 bedømmelser ) Dallas, United States

Projekt-ID: #4092392

Tildelt til:


I can do this within an hour or so for you! Please check the message I have sent you.

$100 USD på 1 dag
(59 bedømmelser)

5 freelancere byder i gennemsnit $152 for dette job


hi, we are able to complete this work with its innovative ideas and excellent customer service. we will make some different to your expectation. we are available via Skype, phone and e-mail and are always open for Mere

$110 USD på 1 dag
(95 bedømmelser)

Hi my name is William, I've been working as a Web developer for over six years. I would be glad to work on this project if you would give me the oportunity. Thank you for reading this and have a nice day!

$100 USD in 2 dage
(12 bedømmelser)

Hello, Please check your PMB. Thanks Have a lovely day.

$250 USD in 5 dage
(5 bedømmelser)

hi, I'm eager to do this simple job..I'm working about this section also..just ensure your reply..Have a look in your message box please..

$200 USD in 3 dage
(1 bedømmelse)