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528490 Single PHP page with a form

I need coded a single PHP page with a form per attached screenshot.

Code in PHP-5, HTML-5, CSS-3 and SEO friendly.

Min 5 yrs experience is desired.

Any questions, please post on the PB.

I would read realistic bids only.

I am looking for long term relationship with experienced PHP & MySQL coder to develop websites.

Tnx

Kĩ năng: Bất kì công việc gì, CSS, PHP

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Về Bên Thuê:
( 20 nhận xét ) Vancouver, Canada

ID dự án: #2274431

Được trao cho:

kevalthacker

Hello Sir,Please Check PMB.!!

$25 USD trong 0 ngày
(35 Đánh Giá)
3.7