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From JPG to HTML

the attached image need to be sliced and converted to HTML..

after that I need the form when filled and click on submit to go to a specific email i will provide later for the winning bid.

NOTE : LOWEST BID WINS..

NOTE: I WILL NOT PAY MORE THAN 10$

Kemahiran: Reka Bentuk Sepanduk, Reka Bentuk Grafik, Reka Bentuk Logo, Reka Bentuk Laman Web

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Tentang Majikan:
( 37 ulasan ) Santa Clara, United States

ID Projek: #52465

Dianugerahkan kepada:

BestProfessional

Let Us START!!!

$30 USD dalam sehari
(10 Ulasan)
4.3

9 pekerja bebas membida secara purata $40 untuk pekerjaan ini

codeguru786

Hi i can do this job for u in 5-6 hours. lets start

$30 USD dalam 0 hari
(373 Ulasan)
8.4
tisindiadelhi

Lets do it. It includes form coding and email functionality.

$40 USD dalam sehari
(53 Ulasan)
7.3
jeevanarun

This is easy job. We are ready to do it. Check out our website at [login to view URL] We have experienced programmers for form development. If you are really interested, then feel free to contact us. Arun, i- Lagi

$50 USD dalam sehari
(26 Ulasan)
7.1
poonam75

I am not the lowest bid but I know what I can provide :). The form coding is not included in this bid amount. Regards Poonam

$50 USD dalam 5 hari
(129 Ulasan)
6.8
sarm

[login to view URL]

$50 USD dalam sehari
(33 Ulasan)
6.4
herod

i can help you.

$50 USD dalam sehari
(8 Ulasan)
3.8
NubKnacker

I can start immediately. Thanks. :-)

$30 USD dalam 0 hari
(3 Ulasan)
3.4
rapidbrain

I shall need the original PSD file. Also dolet me know the various options of teh fields (list boxes). I shall dothis for 20$.

$30 USD dalam 2 hari
(3 Ulasan)
3.4