DirtGlue Inquiry Form
Budget $5-25 USD
Simple inquiry form consisting of contact info, some check boxes, radio selection fields, and text areas. Form info to be emailed. See attached Word Doc.
13 freelancers are bidding on average $76 for this job
I will provide the code in a few hours infact. So contact me at officedumps@[login to view URL]
We can provide this script for you in a day or so. The bid includes: Cgi Script that will dynamically create a form completely integrated with your site. Validation of all fields to make sure they are fill More
I am very proficient in using CGI/Perl and can very easily handle what you are expecting here.