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Fix a PHP page and do a new form page to capture information

I have need for someone to fix one broken PHP page and do do a new php page based on a form design. The PHP page should have a captcha prompt on the page. Also, on submitting, the page should email the collected data to an email address.

Budget 25 - 50USD.

Kemahiran: AJAX, Javascript, PHP, Reka Bentuk Laman Web

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Tentang Majikan:
( 8 ulasan ) Alpharetta, United States

ID Projek: #1544032

8 pekerja bebas membida secara purata $350 untuk pekerjaan ini

sriraj1233

========== YOUR SEARCH ENDS HERE =======

$250 USD dalam sehari
(102 Ulasan)
5.7
logicshine

Thanks for your job post. We are ready to take up this work.

$300 USD dalam 3 hari
(27 Ulasan)
5.5
msahils

i would like to start your work asap, thanks.

$250 USD dalam 3 hari
(37 Ulasan)
4.9
thehero75

I'm web Developer & designer I can do it right now check pm

$250 USD dalam 2 hari
(38 Ulasan)
4.8
phaseonemedia

Heya, I can give you a hand. Regards, Brad

$250 USD dalam 0 hari
(25 Ulasan)
4.5
guyver1918

Hello sir, We are a web development company and we have a dedicated team of expert designers & developers having skills in web technologies and application developments. We have expertise in SugarCRM, Html, XHTML, Lagi

$500 USD dalam 15 hari
(0 Ulasan)
0.0
X156QgzCZ

Pls check PMB.

$750 USD dalam sehari
(0 Ulasan)
0.0
robmilnes

NOTE: MY BID IS FOR £35.00 GBP. I can complete this task for you in 3 days. Mainly because I work 8am-5pm, so only have 4 or 5 hours after work. My bid states 3 days because I want to ensure all details are complete Lagi

$250 USD dalam 3 hari
(0 Ulasan)
0.0