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Make form for my website (html)

Need a form to be made. I have tried to explain it roughly in attached [url removed, login to view] file. Please read and PM me any questions you may have.

Max. Budget 75 USD

You can suggest other methods of achieving the same result. It's about visitors able to fill this form on my website and me being able to access/edit it. Nothing fancy required, just functionality.

Hosting info: php, mysql support and anything else without problem.

Kemahiran:

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Tentang Majikan:
( 99 ulasan ) Willemstad, Curacao

ID Projek: #330188

Dianugerahkan kepada:

edenbird

Ready to start. Best regards.

$55 USD dalam 3 hari
(3 Ulasan)
1.5

7 pekerja bebas membida secara purata $64 untuk pekerjaan ini

Muddabir

Could you please give me the honor by having a glance at your PMB.

$65 USD dalam 3 hari
(8 Ulasan)
3.1
Indexpage

Hello Sir, Check your PMB for more details Thanks

$75 USD dalam 2 hari
(108 Ulasan)
2.3
raymondri

Let me do this for you. Thanks.

$70 USD dalam 3 hari
(0 Ulasan)
0.0
robertliu003

it's not difficult for me

$70 USD dalam 0 hari
(1 Ulasan)
0.0
karmadesign

Check my PMB.

$65 USD dalam 2 hari
(4 Ulasan)
0.0
Charli18

Hello, Please check PMB.thanks

$50 USD dalam sehari
(6 Ulasan)
0.0