Pull-Down Email Form

I need a clone of the following form:

[url removed, login to view]

I do NOT need any of the template stuff... just the form itself. It must be able to send email to one of three different email addresses, one for each office chosen. It must be the exact same data, pull-down options, etc. Please do not submit any data on the existing form. I do not want test data being sent off...

Kemahiran: PHP

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Tentang Majikan:
( 95 ulasan ) Georgetown, United States

ID Projek: #373996

Dianugerahkan kepada:


************************************************************************.. YOUR SEARCH ENDS HERE .. ************************************************************************************ Get it done professionally and Lagi

$30 USD dalam 0 hari
(62 Ulasan)

6 pekerja bebas membida secara purata $38 untuk pekerjaan ini


We are ready to start on it right now and will deliver you work within an [url removed, login to view],A1dezine Team

$50 USD dalam 0 hari
(68 Ulasan)

Ready to begin, Waiting for your selection. Lloyd

$35 USD dalam sehari
(170 Ulasan)

Hi, I can do a similar form [url removed, login to view] for bid acceptance to start work.

$50 USD dalam sehari
(66 Ulasan)

hi, please see pmb

$30 USD dalam 0 hari
(28 Ulasan)

Hello, please check your PM.

$30 USD dalam 0 hari
(9 Ulasan)