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165515 Quick PHP form

I have a contract that I want people to be able to fill out and agree to online.

It needs a field for them to put in name at the top and then at the end of the contract it needs field for them to put name, address, city, state, zip code, phone & email. Then I need a check box for them to agree to the contract and then submit to me.

I need to capture their IP address, Date & Time they send the contract & send all info they put in contract to me in email.

It should be PHP. No database needed.

Kỹ năng: Bất kì công việc gì, PHP

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Về Bên Thuê:
( 38 nhận xét )

Mã Dự Án: #1911706

Đã trao cho:

rajeshsonisl

As discussed. Thanks

$20 USD trong 0 ngày
(700 Đánh Giá)
7.8