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165488 Simple form script needed...

I am in need of someone to create and install a form for on a Web page.

The Web page will contain a Terms of Service agreement. At the bottom, the viewer will be able to choose "Yes" or "No" and then, in other fields, input their name, address and e-mail address.

I would then need this completed form sent to me via e-mail.

The information gathered from the form must include the information they inputted along with their IP address.

Once the script is completed, I would need it installed on my site.

Thanks.

Kỹ năng: Bất kì công việc gì, MySQL, Perl, Thiết lập Bản thảo

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Về Bên Thuê:
( 34 nhận xét ) Montreal, Canada

Mã Dự Án: #1911679

Đã trao cho:

elnino

hi there, can do your form in minutes. check PM

$15 USD trong 0 ngày
(114 Đánh Giá)
5.9