Form design

Need an Australian made website focused around an email form. I need to be able to drag email addresses from local goverment members website. A user needs to be able to enter a name, email address and postcode then a prewritten letter is sent to their local member of government just from giving a post code.


1. Home Page - user enters name, email address and postcode.

2. Form Page - By using the postcode in the home page a list of local government members found in that postcode will appear in a dropdown box (choose one only) These names will be the To part of the email. The name of the government member will also apper in the Dear________ of the email body. The email body will be prewritten by myself.

3. The users name from the Home Page form will appear at the bottom of the email body. Your Sincerely_________ and also be the Subject of the email.

4. Most importantly the email must be sent from the email address given in the Home Page form, not the website.

Here is a similar website

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Kemahiran: CSS, HTML, HTML5, Reka Bentuk Laman Web

Lihat lagi: body by design, australian website design, form design code website design, government website design, australian users, css email design, website list names addresses, form contact aspx, post design css, drag email form, aspx form, australian email list, contact css form, form dropdown, letter form design, goverment, css form design code, email body form, css members, letter design using, letter box design, addresses form, form email body, email goverment, contact email form

Tentang Majikan:
( 3 ulasan ) Hamilton Hill, Australia

ID Projek: #4049010

16 pekerja bebas membida secara purata $134 untuk pekerjaan ini


We are detailing all our questions / discussions in the Private Message Board, kindly check the same

$200 AUD dalam 10 hari
(268 Ulasan)

Hi, I am design expert with huge expertise in CSS, HTML, HTML5, Website [login to view URL] are ready to start your work. We Already did 320+ successful projects [login to view URL] PMB to see my previous [login to view URL] I understand this Lagi

$160 AUD dalam 2 hari
(76 Ulasan)

hello i can help u sir quite possibly!!! let's start

$180 AUD dalam 5 hari
(56 Ulasan)

Ready to start!!!

$100 AUD dalam 2 hari
(113 Ulasan)

I have been working as a web designer for last 3 year and 9 months.I am very careful about perfection of my works. I am specializing in web site designing, also designing logos, banners, letterheads, business cards and Lagi

$150 AUD dalam 2 hari
(72 Ulasan)

Hi, I have read your bid and can offer impressive web solution please view private message to visit our portfolio. Thanks,

$120 AUD dalam 4 hari
(20 Ulasan)

Dear Employer, Let's Start. Please accept our BID. We are a team with professional dedicated designers & developers. Please see PMB for other details. Thanks!

$150 AUD dalam 7 hari
(24 Ulasan)

Hi, This is jeni from Bistechsupport. We could able to work on this project. A very few samples are drop down over here for your reference: 1 Ecommerce [login to view URL] 2 Members only http://m Lagi

$125 AUD dalam 3 hari
(22 Ulasan)

Interested in the task. Web Design Experts here. Do check our profile. Thanks!

$120 AUD dalam 5 hari
(16 Ulasan)

Hi, I have experience php, mysql, html5, css3,js. so i can help you. please see my portfolio and PM. Thanks

$100 AUD dalam 5 hari
(8 Ulasan)

Hi, I read your instructions carefully. I have no problem with the first 3 steps. But forth step confuse me I think you want to send the email from the email which user will type. It is not possible since it's Lagi

$100 AUD dalam 3 hari
(16 Ulasan)

I am an expert web developer with 12 years of experience. I can develop this small web application in 2 days

$150 AUD dalam 2 hari
(15 Ulasan)

Will provide you with quality work up to your full satisfaction [login to view URL]

$99 AUD dalam 5 hari
(9 Ulasan)

Please check your private message board..

$150 AUD dalam 3 hari
(4 Ulasan)

Hi, We are a web development firm with highly capable in-house team of expert [login to view URL] can finish your job with low cost and high quality. Please view PMB for more....

$135 AUD dalam 2 hari
(2 Ulasan)

Hello, I am a programer developer and I know HTML, CSS and Php and I would be happy to take care of your project. Please check your PM.

$100 AUD dalam 4 hari
(1 Ulasan)