At this italian webpage:

[login to view URL]

between lines 199 and 244 (see screenshot) I have a contact formt hat need to be changed with a different one.

New contact form must have following fields:

Società concessionaria (text fields)

Sede legale (text fields)

Partita Iva (text fields)

Legale rappresentante (text fields)

Nato a (text fields)

Il (day/mounth/year calendar in italian for birth date)

Residente (text fields)

Email ordinaria (email field)

Pec (email field)

Telefono di contatto (telephon field)

Numero concessione vigente (text fields)

Data emissione concessione vigente (day/mounth/year calendar in italian)

Repertorio concessione vigente (text fields)

Scopo concessione (text fields)

Autorità concedente (text fields)

Canone annuo riportato in concessione (text fields)

Canone complessivo riportato in conccessione (text fields)

Canone imposto per l’anno 2019 (text fields)


1) All fields have to be mandatory.

2) Email ordinaria field (not Pec field) must be with email address validation.

3) A “Thank’you, message sent“ message have to appear after sending.

4) Form has to be perfectely responsive and perfectely working. So is not only a css and html issue. New form has to send email with all details filled in the form.

5) New form has to work with all user email accounts (Yahoo, Gmail, Gmx, etc.).

6) When reply to an email received from the form, user email account has to be placed automatically in “to“ field.

Please do not bid before all tasks are perfectely understood

Thanks for considering my project, Giggino.

Skills: PHP, HTML, CSS, Website Design, Javascript

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About the Employer:
( 19 reviews ) Frankfurt am Main, Germany

Project ID: #24498047

Awarded to:


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