Contact Form 7 Wordpress Formular needed

Completed Posted Apr 16, 2013 Paid on delivery
Completed Paid on delivery

For my Wordpress Website [url removed, login to view] I need a Contact Form so that the User can directly order our Cupcake test box.

These are the fields I need:

Name (Required Field)

First Name: (Required Field)

Street: (Required Field)

Zip Code: (Required Field)

City: (Required Field)

EMail Adress: (Required Field)

Checkbox: I need some (6) Checkboxes in row order and it is important, that the user can mark maximal 2 of the 6 checkboxes.

Message:

Delivery Date:

Delivery Time:

Send Button

I need the contact form in a thoughtful and tidy design, you see on the website, there is just a little space for the contact form.

Graphic Design HTML PHP Website Design

Project ID: #4434981

About the project

19 proposals Remote project Active Apr 16, 2013

Awarded to:

imranihsan

See PM. Thanks

$40 USD in 1 day
(399 Reviews)
7.2

19 freelancers are bidding on average $68 for this job

jsr3

I understand your requirements and ready to start right now. Please check your message box for more details.

$103 USD in 3 days
(68 Reviews)
6.3
sotrue

Ready to start work straight away !!! Please check our freelancer profile and our reviews for work done for our prompt clients.

$60 USD in 3 days
(10 Reviews)
5.0
spalshmedia

Redy for Start work! I've 5 Years experience in WordPress Template Design, Plugin development, WordPress eCommerce Site with Mysql, CSS, Jquery, Javascript. Please look my portfolio and award this job to me.

$100 USD in 7 days
(11 Reviews)
4.8
thesmartdigitals

Wordpress EXpert Here, This Job Is For Me, Ill Create The Ideal Form As Requested

$100 USD in 1 day
(13 Reviews)
4.7
phpmysqlrocks

I can help you do it perfectly. I have more than 5 years work with wordpress. Hope we'll work together, thanks!

$39 USD in 1 day
(18 Reviews)
4.6
arijit2010sl

Based on our expertise and long term experience, I can guarantee an extraordinary result in less than anticipating time.

$40 USD in 1 day
(24 Reviews)
4.5
chaperone

Hi, Please check your private message board . Thanks Sam

$75 USD in 3 days
(6 Reviews)
3.8
Tulear

IT Engineer with 13 years of experience (2000 - 2013), I have enough skills to complete this project. Please check inside my profile page - here at freelancer.com - what my former Employers have said about me. I a More

$65 USD in 3 days
(9 Reviews)
3.7
aekpani

Want to hire WP expert

$50 USD in 2 days
(6 Reviews)
3.3
momentumsoftware

We can make this form better . Please check PMB , Thanks Ankur

$69 USD in 2 days
(6 Reviews)
3.2
sjain449

We can do the project as you require. Kindly have a look at our past work done in your PMB Awaiting your kind response Thanks & Regards Personalive Services

$84 USD in 3 days
(4 Reviews)
3.0
mmagr99

sir we have more than 8 yearz experience in web we are ready for that

$30 USD in 0 days
(1 Review)
2.8
limrawebworld

"" Do you want to get the best Contact Forms on Wordpress"....please visit your in box..

$105 USD in 3 days
(2 Reviews)
2.7
creativePIT

We ensure that we will satisfy you 100% - Please check PM Thanks

$99 USD in 3 days
(1 Review)
1.1
Global4Tech

Hello sir, I have experience in creating order form and i can do it. Please check PM.

$71 USD in 3 days
(1 Review)
0.0
icladmin

Ready to start work please check your PMB.

$65 USD in 2 days
(0 Reviews)
0.0
zodiana

We are ready to do this work well perfect waiting for your rply.

$35 USD in 1 day
(0 Reviews)
0.0