A Support contact form

キャンセルされた 投稿 Feb 12, 2013 着払い
キャンセルされた 着払い

I need a ric text contact form with a capch and an upload feature created please the upload will be an attachment to the email sent.

I would like nice css turquoise gradient style for the fields.. on white background please..

I want the form to send me their ip address, their os, their host, their browser and country please.

It needs to have a thank you on submit function, just a simple thank you page.. I will adjust the template.

PHP

プロジェクトID: #4238695

プロジェクトについて

5個の提案 リモートプロジェクト アクティブ Feb 13, 2013

5人のフリーランサーが、平均$68 で、この仕事に入札しています。

wwwlayer

Ready to work on your project.

$60 USD 0日以内
(144件のレビュー)
6.1
vickymudgal

Hello Please check PMB Thanks

$150 USD 3日以内
(20件のレビュー)
5.6
RazHarush

Within 1 day - Captacha, upload feature, the requested pages and free technical support! Award my bid now and we'll get working!

$50 USD 1日以内
(7件のレビュー)
4.2
teamvalid

Hi! I can develope this form for you with requirements. Accept my proposal and provide details about where it needs to be integrated. Thank you. ~Shakir Shabbir

$50 USD 2日以内
(レビュー1件)
3.8
bryandev

Ready to start right now! USA Based developer - Can finish in 1-2 hours

$30 USD 1日以内
(3件のレビュー)
1.8