Færdiggjort

HTML & PHP 'Contact Us' Form

NOTE: I will not accept bids above $40...MUST HAVE RATING ON PHP PROJECT(S)

YOU CANNOT USE 'MAILTO:' ELEMENT!

I need a basic html & php contact us form scripted without using

the mailto: element.

I need the following fields coded and have the submit button

send details to an email address.

Subject (drop-down box) - should appear in email subject line

Title (drop-down box)

First Name

Surname

--------------------------------

Email address {need to use javascript to validate

Phone number {ONLY ONE field needs valid data

--------------------------------

Message (10 rows)

I can alter the actual values myself. It's the php side of it

that has me stumped.

Any questions?- let me know and I'll do my best to answer them.

Thanks.

## Deliverables

1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.

2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):

a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.

b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.

3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).

## Platform

IE 5+ Firefox Safari Opera PHP 4+

Evner: CSS, Software Arkitektur, Software Testning, Web Hosting, Hjemmeside Management, Hjemmeside Testning, XML

Se mere: php project coder, html code for contact form to email, html 5 submit, html 5 button, html 5 basic code, hire css html web coder, US phone Number, us form, php contact, basic html project, form submit xml, javascript submit form email address, php project complete, html alter, html mailto, mailto css, send receive data php, javascript receive data php, alter javascript, javascript xml form

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