Em Andamento

Web form

I need a web page form with the information below. The results would be sent to my email address. I want the information the user puts in the email field to show as the from address when the email comes to me.

Payment will be made upon completion.

Thanks!

Name (required field)

Email address (required field)

[] Potential customer [] Existing customer (One or the other required)

Existing customer – What name and email address did you purchase under (This option will only be active if existing customer is checked and will be required if active)

Windows version [] Vista [] XP Home [] XP Pro [] XP Media Center [] 2003 Server [] 2000 Server [] 2000 [] NT (One of these is required)

At the login screen, do you have a field below the password field that says Log onto? [] Yes [] No (One of these is required)

Please boot with our CD and type retrieve at the a: prompt, then hit the Enter key. What characters follow the Administrator account and the account you are trying to log in with if other than Administrator? Please be exact! This information is very useful in getting you logged back in to Windows.

(Here would be a text box to enter the information) (This would be optional)

Additional information

(Here would be a text box to enter the information) (This would be optional)

Habilidades: PHP, Design de Sites

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Acerca do Empregador:
( 65 comentários ) Huntington Beach, United States

ID do Projeto: #130767

Premiar a:

teta

Check PM please!

$30 USD em 0 dias
(60 Avaliações)
5.9

24 freelancers estão ofertando em média $36 para este trabalho

lightcresent

Will be completed today itself... Payment after job completion... Thanks, Vishal

$30 USD in 0 dias
(587 Comentários)
9.1
CreativeB24

Hello, We have gone through your requirements. This is a very simple job. We have done same type of job many times. The demo is ready. See PMB for more details and demo. Tnx a lot.

$50 USD in 0 dias
(36 Comentários)
6.8
umairg

Please checkyour PM!

$30 USD em 1 dia
(88 Comentários)
6.5
shivaminfotexind

We have a team of experienced PHP/MYSQL programmers who can work dedicatedly on your project. Our project manager will co-ordinate with you at every stage throughout the project so that the project not only Mais

$37 USD em 1 dia
(37 Comentários)
6.3
VENKEY

Hi, i am ready..Thanks.

$50 USD em 1 dia
(17 Comentários)
6.1
ClassicReappear

Would like to serve you! Best is our goal!

$50 USD em 1 dia
(13 Comentários)
4.6
selfeky

ready to start.

$30 USD in 0 dias
(9 Comentários)
4.3
doitfast

pl see PMB for more details

$30 USD in 0 dias
(13 Comentários)
4.3
micr

Can be done right now .

$30 USD em 1 dia
(2 Comentários)
3.6
rage0821

pls check pmb. thanks.

$30 USD in 0 dias
(1 Comentário)
3.3
felodiaz

Ready to do this project for you. Check Pm.

$30 USD em 1 dia
(3 Comentários)
3.0
SuperFly

Dear Sir/Madam, I read carefully your project info and I know what you need. I can do this exactly like you want and very fast. Please do not hesitate to contact me. Kind regards

$30 USD in 0 dias
(2 Comentários)
1.6
vikkram

We take this opportunity to introduce Trivia Info as a professional service provider.

$35 USD in 0 dias
(1 Comentário)
1.0
hpplex

Ready to start immediately

$30 USD em 1 dia
(1 Comentário)
1.0
zeus300

I did one for my clients. Modifications can be done if required.

$35 USD em 1 dia
(0 Comentários)
0.0
ashishma20

We understand your requirements & ready to start immediately on your project, as we are the experts . Thanks!

$30 USD em 1 dia
(0 Comentários)
0.0
xDesigner2001

This is so easy !!!! -Xuong

$45 USD em 1 dia
(0 Comentários)
0.0
Lavelleinfo

Can be done easily . Thanks Lavelle infosystems

$80 USD in 3 dias
(0 Comentários)
0.0
piotrfirlej

Please see pm!

$30 USD in 0 dias
(0 Comentários)
0.0
arupreddy

We will make the form in php and ajax you can check the sample form at [url removed, login to view]

$30 USD em 1 dia
(0 Comentários)
0.0