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140632 Simple form with image upload.

Hi,

I need a form creating with a box that the user can upload an image from their computer to send through to our email.

The form should include the following:

Full Name:

Age: *Drop menu 16-99*

Email Address: *must match*

Email Address: *must match*

Telephone:

Agree to Terms: (check box)

Upload Image: (Any file type Max. 2MB)

Upload Image: (Any file type Max. 2MB) *this is the only non-compulsory field*

Submit

Looking for someone that can do this now, asap. Thanks.

Regards,

Ben

Kỹ năng: Bất kì công việc gì, Thiết kế trang web

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Về Bên Thuê:
( 80 nhận xét ) Marlow, United Kingdom

Mã Dự Án: #1886807