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Flash Form Design

Flash Form Design

Rush job.

I need a standalone Flash Form designed (must NOT be coffeecup flash) that will fit into my Joomla (but I do not want it interacting with Joomla), and that will start with one field and one question, and bring up the next field based on the answers, then mail the results to a specific email address, depending on what was entered on the form.

Form will be 450 pixels wide, length does not matter. Preferably designed using elements from the website.

Here is what i need it to do:

001

Field: Name: (field)

Question: Are You Contacting Us regarding An Order?: (yes/no) If yes, see 002 - if no see 003

002

Field: E-mail Address Used When Ordering: (w/ e-mail validation)

Pulldown: Salesperson (7 selections, selection will determine recepient of form)

Text Box: Message

Radio Button: Require A Response (yes/no) - If yes, bring up an alert that responses can take up to 2 business days

CAPTCHA

send / reset

on send, will send confirmation to customer and form contents to proper e-mail address.

on reset, goes back to beginning of form

003

Alert requiring clickthrough yes/no If yes, forward to webpage - if no, proceed to 004

004

Field: E-mail Address (w/ e-mail validation)

Pulldown: Question About (several choices, selection will determine recepient)

Textbox: Message

CAPTCHA

send / reset

on send, will send confirmation to customer and form contents to proper e-mail address.

on reset, goes back to beginning of form

The pulldowns should pull the proper information from a text file, so I can easily add/remove options, and change the e-mail address that each pulldown selection will send the form results to.

Payment by escrow, released when I am satisfied. This project is not worth $250, so please don't bother bidding the max as you'll just be wasting your [url removed, login to view] freelancer will have first chance at my future flash projects.

Taidot: Adobe Flash

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About the Employer:
( 58 reviews ) Garrisonville, Canada

Projektin tunnus: #460817