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221413 Need Simple Form

I need a simple form created that will gather information. The form needs to use PHP and validate the information entered.

The following information needs to be emailed to an email address:

Name

City

Phone

Email

Reason (This will contain two list items to chose from: Foreclosure or Other)

After the information is submitted, the user will be directed to one of two possible pages. This will be determined by the last list item on the form.

If they select "Foreclosure", they will be redirected to "[url removed, login to view]

If they select "Other", they will be redirected to an undertermined HTML page.

Nothing too fancy, just a basic form using PHP to process the data and send to an email address and redirect to one of two pages.

All fields are required so the form must validate each input filed as well as the list menu.

Any questions, drop me a PM.

Thanks,

Mike

Kemahiran: Semua Boleh, CSS, HTML, PHP

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Tentang Majikan:
( 6 ulasan ) Roseville, United States

ID Projek: #1967648

Dianugerahkan kepada:

$10 USD dalam 0 hari
(0 Ulasan)
0.0