767 simple email form

I need a one page simple form that people can fill out and send securely to my email address. The form also has a terms and a check box at the bottom of the terms that the user must click or the form will not process with a error mesage The fields are: Name Company name Address Phone Fax Email website address Box for the terms of service Check box that must be checked or the form reloads with an error message Submit Button. A demo would be nice, but not essential, need right now escrow and pay immediately. Thanks Jeff

Taidot: kaikki käy, MySQL

Näytä lisää: simple escrow service, escrow service company, simple form fill, jeff, email process, email check, send form email address, address email website, simple phone email, nice company name, simple email form, email address people, nice message form, page simple, fill submit form, phone fax address, address email company, email click, send email website form, fill form mysql, email submit pay, name email submit, submit email pay, email address name phone, submit simple form

Tietoa työnantajasta:
( 3 arvostelua )

Projektin tunnus: #1751635

Myönnetty käyttäjälle:


we can [url removed, login to view] needed.

$5 USD 0 päivässä
(199 Arvostelua)