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157258 Simple form with attachment

I need a standard HTML form with the following fields.

All fields are required so checking is needed.

There will be a file upload option and this file needs to be emailed as an attachment to the destination email address.

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OWNER OF VEHICLE

REGO

DRIVER

DRIVERS LIC No

Date of Birth

ADDRESS

SUBURB

POSTCODE

EMAIL

PH

MOB

VEHICLE DETAILS

MODEL

COLOR

BODY TYPE

INDUCTION - 3x Numbered Tick boxes

DESCRIPTION - Text Area

9x numbered Tick Boxes

IMAGE - File upload window

Most fields are text and all are required to be filled in.

After submission all details must be email to a nominated address with the image file as an attachment.

Thanks,

Kỹ năng: Bất kì công việc gì, PHP

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Về Bên Thuê:
( 25 nhận xét ) Australia

Mã Dự Án: #1903443