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Form and form to email script

Hello Coders,

Attached is a MS Word file with the layout of a form. I need the form in HTML and the form to email script in PHP. Job pays $30.

Fields indicating * are mandatory and should be validated.

How fast can you do it?

Happy Bidding!

## Deliverables

1) All deliverables will be considered "work made for hire" under U.S. Copyright law. Employer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the employer on the site per the worker's Worker Legal Agreement).

2) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.

3) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):

a) For web sites or other server-side deliverables intended to only ever exist in one place in the Employer's environment--Deliverables must be installed by the Worker in ready-to-run condition in the Employer's environment.

b) For all others including desktop software or software the employer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this project.

## Platform

all major web browsers

Habilidades: CSS, PHP, XML

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Acerca do Empregador:
( 198 comentários ) Panaji, India

ID do Projeto: #2992908

5 freelancers estão ofertando em média $19 para este trabalho

netbee

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$17 USD em 1 dia
(125 Comentários)
6.2
nikhil2010

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$17.85 USD em 1 dia
(49 Comentários)
5.8
nextGenSol2002

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$15.3 USD em 1 dia
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5.3
maxworker

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$21.25 USD em 1 dia
(6 Comentários)
2.6
chinchala

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$21.25 USD em 1 dia
(0 Comentários)
0.0