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PerfectFit PT - Contact Form

I have a client who wants a Contact Us page, which has a simple form containing:

[url removed, login to view] Name (required)

[url removed, login to view] Name (required)

[url removed, login to view] Number (optional)

[url removed, login to view] Address (required)

[url removed, login to view] Time of day to reach you (optional)

[url removed, login to view] you currently a member of Fitness First? (required)

[url removed, login to view] did you hear about us? (required)

The test site is located here: [url removed, login to view]

I need PHP configed on the server to do the following:

1. Send the submitted information to a specified email address

2. Send confirmation email to the provided email address

Once you show me you can do it, I'll give you the server login info so you can config it on the webserver.

Færdigheder: PHP

Se mere: confirmation com, us form, PT, fitness 4, form server client, form client server, send form email address, phone number confirmation, client form, optional time, php send confirmation email, php form confirmation page, phone number info, send form, simple contact, contact php, simple contact form php, client information form, contact required, form contact, time contact, last contact, show address, form simple, confirmation email

Om arbejdsgiveren:
( 6 bedømmelser ) Hattiesburg, United States

Projekt-ID: #94911

23 freelancere byder i gennemsnit $36 for dette job

VALUEONWEB

Valueonweb is a customer-specific service oriented company has got an Professional and creative team. We are the Professional Web Development Company having 3 years experience in Web design and development. We have exp Mere

$30 USD på 1 dag
(212 bedømmelser)
7.9
abraham66

I will do it easily, for 20$ only.

$30 USD in 0 dage
(97 bedømmelser)
6.8
pentium10

Professional work from professionals!

$30 USD in 0 dage
(219 bedømmelser)
6.9
umairg

Please check your PM!

$30 USD in 0 dage
(54 bedømmelser)
6.0
teta

Hi I can do this please check Pm thanks!

$30 USD in 0 dage
(42 bedømmelser)
5.7
shreesoft

Ready to start now. Regards Govind

$30 USD på 1 dag
(26 bedømmelser)
5.9
joomart

I will appreciate it if my bid is chosen. Quality work and satisfcation is guaranteed. Thanks and Regards

$35 USD in 0 dage
(20 bedømmelser)
5.9
lestervan

Hi, pls check PMB. Thanks.

$30 USD in 0 dage
(33 bedømmelser)
5.7
burtzerk

I am able to carry out this work. See your PM for an example.

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

Please check your PM.

$45 USD in 0 dage
(34 bedømmelser)
5.7
starshine

It can be done :)

$45 USD in 0 dage
(25 bedømmelser)
5.1
krugonN

Kindly check your PM. Thanks.

$30 USD på 1 dag
(11 bedømmelser)
4.4
andreisaioc

THis can be done very easy

$40 USD på 1 dag
(13 bedømmelser)
5.3
otcay

Hi, It seems very simple project. I will done it very asap. I will appreciate it if my bid is chosen. Quality work and satisfcation is guaranteed. Thanks :)

$50 USD in 0 dage
(8 bedømmelser)
3.6
redteam

Hi sir,please view pm.Thanks.

$30 USD in 0 dage
(4 bedømmelser)
3.3
mnouskina

I can do this for you realy fast. I have all the proper expiriences.

$30 USD på 1 dag
(1 bedømmelse)
1.8
Soumyashahi

Hello, We would like to do this work for you. Please Give us a chance. Satisfaction Guranteed... Thanks Regards Kusum

$100 USD in 0 dage
(1 bedømmelse)
1.9
curried

Please see PM for details. Kind Regards, Donald Currie.

$30 USD in 0 dage
(1 bedømmelse)
1.7
j0yst1ck

Dear Sir, please check PM

$40 USD in 2 dage
(2 bedømmelser)
2.3
jamiro

Ready to start immediatelly. Easy and clean job. See my profile then PM me...

$30 USD på 1 dag
(0 bedømmelser)
0.0