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Add form to request catalog

Would like an easy form added to request a catalog. Basic information needed from customer input: Name; Organization; Street Address; Address (cont.); City; State/Province; Zip/Postal Code; Country; E-mail. Would like information that customer inputs to be stored in a table.

Forms input would be forwarded to a specific email with; Re: Requesting Catalog.

I have a picture of the current catalog to post on the page also.

Færdigheder: PHP

Se mere: request catalog, table customer, street 3, email add, city state, add country state, city state country php, forms post, zip city state, form mail php, picture address, php customer form, province city state, forwarded email, province, add address, province code, city province zip code, state province code, email request, form input, php country city state, province zip, zip mail, form picture

Om arbejdsgiveren:
( 10 bedømmelser ) Atlanta, United States

Projekt-ID: #33448

Tildelt til:

Softcomlet

I can have this done this evening. Thank you for your consideration.

$30 USD in 0 dage
(1 bedømmelse)
1.0

4 freelancere byder i gennemsnit $39 for dette job

DevExpert

Be welcome. Full satisfaction and 3 days free support. Thanks.

$30 USD på 1 dag
(130 bedømmelser)
7.4
PatrickDev

Hi, I can do this form per your specs - emailing the results to you as well as storing them in a MySQL database. If you have any questions, please let me know via PMB.

$45 USD på 1 dag
(29 bedømmelser)
4.4
Dimarick007

We could handle this project fast and cheap, as we have people and are situated in Russia, where the prices are much cheaper. Our company is a web-development studio situated in Eastern Europe, Moscow, Russia. Our si Mere

$50 USD på 1 dag
(0 bedømmelser)
0.0