Contact form with re-captacha


I need a contact form which has the following fields:

*Name (textbox) *Required field

* Phonenumber (10 numbers in validator) *Required field

Postalcode + Huisnumber + additional *Required except for field additional

* Subject (dropdown menu with multiple options possible) *Required

* Days of the week (checkbox multiple options possible) NOT required (only required when preferred time has filled in)

* Preferred time (radio button) NOT required

* GDPR BOX (checkbox) *REQUIRED

* Recapatcha *Required

Clear + submit button in form


The output of the form need to work with PHP 7.3 or higher

The requester of the form will receive a copy of the filled in form by email

The owner of the website will receive the information which has been filled in by email + the url from where it has been sent


Example of design (only dropdown box is missing) is attached here as screenshot.

Clear clean code expected

Price $ 20

Project end date 24.01.2021 (TODAY)

Evner: PHP, JavaScript, HTML, CSS, Bootstrap

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Om arbejdsgiveren:
( 23 bedømmelser ) Veliko Tarnovo, Netherlands

Projekt ID: #29052227

Tildelt til:


Hello, I can add google re-captacha on your contact us form. and I can complete it by today. I need to know more about your project. Please message me so we can discuss more.

$20 USD på 1 dag
(41 bedømmelser)

10 freelancere byder i gennemsnit $16 timen for dette job


Hello, I will complete it today. I'm a professional fullstack developer, I have more than 6+ years experience in WordPress. i will create Contact form with re-captacha. Look forward to hear back from you soon. Thanks Flere

$20 USD på 1 dag
(67 bedømmelser)

Hello respected client, I hope you have a good day. Thanks for reading my response to your project. I have seen your project detail for the " Contact form with re-captacha ". I am ready to start your project immed Flere

$10 USD på 1 dag
(33 bedømmelser)

Hi i can make your form with captcha according to your description . i already did this type of work. Thank you

$20 USD på 1 dag
(38 bedømmelser)

Hello, *Our team has checked your requirements and ready to handle this job. *Full Stack Developer with a Decade of Experience. *Ready to get in touch at any time. Why choose me? 1)Experience: learning new things and Flere

$10 USD in 2 dage
(21 bedømmelser)

Hy, hope you at fine. I just saw your buyer request that you need an excellent WordPress developer for your project. I am interested in this job and will do this job for $ with unlimited revisions and within 2 days. My Flere

$15 USD in 7 dage
(0 bedømmelser)

Hi Bas ⭐⭐⭐ Hire me! I'll do it perfectly! ⭐⭐⭐ How are you doing? I have read your post carefully and understand your requirements. I can provide high quality with 20$ you want. I am web expert with over 8 years of expe Flere

$15 USD in 7 dage
(0 bedømmelser)

Hello, I can complete this task within 24 hours. I am having 8+ years of experience in html, css, php.

$20 USD på 1 dag
(0 bedømmelser)

i can do this for you i'm professional at html css javascript plz chat me you will recieve your project 1 day if i can i will do this 1 or 2 day

$20 USD in 2 dage
(0 bedømmelser)

Hello sir, I have read your request well, understood what you want and are very excited to work on the project. I am Ahmed a frontend and backend developer. I have designed and developed many web sites with different f Flere

$10 USD in 5 dage
(0 bedømmelser)