Addition of manual search + contact form

I require a contact form with the following fields added to my [url removed, login to view] page

Name :

E-mail :

Retype E-mail :

Department (drop down list)

- Sales

- Support

- Distributor / Reseller

- Press / Media

- General Inquires

Message :

SUBMIT | CLEAR buttons

I also require a manual search with search field to be located in menubar on far right next to contact us.

Results will be displayed within search page.....

Habilidades: Adobe Dreamweaver, Java, Linux, PHP, Design de Sites

Veja mais: php manual, media general, clear search fields, us form, distributor, html mail form, form mail php, php search page, field addition, contact html, search next, html contact, distributor contact list, search name java, contacts java, java contact list, form submit page, form search, will contact, submit form html page, form contact, addition php form, form field, sales contact, php contact form drop list

Acerca do Empregador:
( 302 comentários ) Sydney, Australia

ID do Projeto: #533442

Concedido a:


Lets get it done.. Thnx JSI Team

$60 USD em 0 dias
(165 Comentários)

2 freelancers are bidding on average $55 for this job


Hi please check your PMB, thanks.

$50 USD in 0 dias
(10 Comentários)