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Create a simple one page form

I need simple form created. You can check the sample attached. It must be similar to that with some additional information on top, which I will provide to the winning bidder. Budget $30. Needed ASAP!

Kemahiran: Penulisan Semula Artikel, Reka Bentuk Grafik

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Tentang Majikan:
( 67 ulasan ) Los Angeles, United States

ID Projek: #2324141

Dianugerahkan kepada:

jamaluddinpitu

Hello Sir, Thanks for your job opportunity. Please have a look on pm:)

$30 USD dalam 0 hari
(258 Ulasan)
6.9

12 pekerja bebas membida secara purata $32 untuk pekerjaan ini

Imaginehub

Hello, I Have Applied for your Job and also send my Portfolio. Thanks

$50 USD dalam 2 hari
(96 Ulasan)
5.9
OutsourcingPlus

Hi! Ready to start & design for you, Please check PM for details...:)

$30 USD dalam 2 hari
(38 Ulasan)
4.8
oskedi01

Hello! We are a professional web developing team from Sweden. We can do this form for you in within a hour! Please contact us on skype for further communication. See PM for our skype ID. Thank you!

$30 USD dalam 0 hari
(2 Ulasan)
3.8
unNene

Please read PM.

$35 USD dalam sehari
(5 Ulasan)
3.5
creativenut

Hi lets start this project now. Please refer PMB for more details thanks

$30 USD dalam sehari
(6 Ulasan)
3.2
EshaalandMariam

Hi. Please refer to your inbox.

$30 USD dalam sehari
(11 Ulasan)
2.1
viveksingh29

I can design this form with professional Design...even at low prices

$30 USD dalam sehari
(1 Ulasan)
1.7
fizzah14

Hi I can start the work right away. I've done work on brochures, copying and rewriting them from a jpg file so this won't be a problem for me! Hope to hear from you soon.

$30 USD dalam sehari
(2 Ulasan)
0.0
RagDoll

I can do this for you :)

$30 USD dalam sehari
(0 Ulasan)
0.0
CreativeDesign22

Hi! I m ready for this job.

$30 USD dalam 2 hari
(0 Ulasan)
0.0
musaabqamar

Ready to work :)

$30 USD dalam sehari
(0 Ulasan)
0.0