Create two PHP forms based on my simple design.
$30-5000 USD
Paid on delivery
Please make two forms based on the design that I have attached. I will be selecting a winner within 1 hour. The project will need to be completed within 8 hours.
The forms and the entire page should be created with tables.
I would like the form to be setup to email me the entries, using PHP.
I will need a captcha field done in PHP.
I would like the user to be redirected to a page that says “Thank you for your inquiry. Someone will be with you shortly. Please
**click here** to return to the main page.??
## Deliverables
1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.
2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):
a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.
b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.
3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).
## Platform
IE6+, Firefox 2+
Project ID: #3624934
About the project
Awarded to:
21 freelancers are bidding on average $36 for this job
