My friend that is a programmer said this wouldn't be to much money to have made.
It's fairly Easy.
I need it to be php or html doesnt matter.
I need the background to have the color I want, same with the tables and the table borders, along with the text color inside the tables ect ect.
I need it to be very basic and directed to my email when the user hits send.
Here is what I need it to do.
Random Text up top that I can edit here.. lalala.
[B]First Name:[/B] [text box] [B]Last Name:[/B] [text box]
[B]Company Name:[/B] [text box]
[B]Phone Number:[/B] [text box]
[B]Email:[/B] [text box]
Confirm Email: [text box]
[B]Current Website:[/B] [text box]
[B]What does your Web project entail?[/B] [Radio Buttons]
+ Build a New Web Site
+ Rebuild an Existing Web Site
+ Updates or Maintenance of an Existing Web Site
[B]Please describe your project:[/B] (i wanna add something right here)
(big text box allow 1,000 characters)
[B]Which option best describes your Web Design needs?[/B] [Radio Buttons]
+ General Web Design + Healthcare Web Design
+ eCommerce Web Design + Real Estate Web Design
[B]What types of features will your Web Site require?[/B] (check all that apply)
[this will also be radio buttons]
+ Auction + Dynamic or Updateable Content
+ Blog + Flash/Multimedia
+ Catalog and Shopping Cart + Membership/Social Networking/Dating
+ Customer Login + Adult
+ Discussion Forums + Gambling
[B]Estimated pages needed, including home page:[/B] (radio buttons)
+ 1 - 5 pages
+ 6 - 10 pages
+ 11- 20 pages
+Ecommerce Site with multiple pages
[B]What additional services will you need?[/B] (check all that apply)
(radio buttons aswell)
+ 3D Animation + Audio Producing
+ Business Cards + Printing
+ Graphic Design + Web Hosting
+ Video Production + Gaming Production
+ Online Game Filming + Online Marketing
+ Paypal + Logo Design
[B]If you selected other please explain here: [/B]
(text box allow 400 characters)
[B]Project Budget :[/B] (radio buttons)
$250 - 500 (Small Budget? Try a website builder)-that should link to geocities
$501 - 1000
$1001 - 1500
[B]How soon would you like to start this project:[/B] (radio buttons)
+ As Soon as Possible
+ 1-4 Days
+ 1 week
+ 1-3 weeks
+ A while.
[B]When is your deadline:[/B] (text box)
SUBMIT REST [/B]
[B]Thank you for filling out this request sheet, we will get back with you with a quote, we are sorry for such a long request form, however, the most details we can get from you the best accurate quote we can get you.