Single HTML form

Dibatalkan

I need a single HTML page with single form having 4 fields just as the attached image file. Please check the image and I need the exact design that is depicted on image.

Its a very simple design and work and I am estimating this job should be done in 1 hour by experts like you

I am offering $8 to $15 for this 1 hour job

Please don't bid above that

Thanks

Kemahiran: CSS, Reka Bentuk Grafik, HTML, HTML5, Reka Bentuk Laman Web

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ID Projek: #14677129