Create a Submit form and upload to webhosting company

Cancelled Posted Jul 11, 2009 Paid on delivery
Cancelled Paid on delivery

I need to have a submit form for my website [[url removed, login to view]][1][url removed, login to view]

I've had one coder start the form with the items that I want on the form.? You can see them at:

<[url removed, login to view]>

The person has become too busy to finish and I would like to have this completed soon.

I'm looking for someone to use my website information to create a form using my webite info.?

- I would like for the form to validate information such as name, phone number and email address.?

- After submitting the information, I would like for the form to have a message box pop up saying:

Thank you for your interest in Lasara Management? Group (LMG).? Our Someone will contact you with additional information soon.? You can also contact us via phone at 818-749-2637.? ?

Regards,

Lasara Management Group? (This can change, I need to finalize my message).? ? ?

- I would like for them to? redirect? to [[url removed, login to view]][2]m

- I would like to have the information emailed to me in an easy to read way

Amazon Web Services Engineering MySQL PHP Project Management Software Architecture Software Testing Web Hosting Website Management Website Testing

Project ID: #2799881

About the project

54 proposals Remote project Active Jul 14, 2009

54 freelancers are bidding on average $39 for this job

puneetjaini

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stevebryant

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puddled

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asntech

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mshihinski

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