On-Line form to E-Mail

Hello, need a on-line form that can automatically e-mail the completed form. I have attached a copy of the form and the fields required. He would also like to accept credit card info so if it can be made secure would be a real plus. The attached form is just a copy but I would expect it to be designed to match the existing web site in color and format. I can and will provide logos.

Thanks for your interest.

Taidot: ASP, PHP, verkkosivujen suunnittelu

Näytä lisää: mail on line, e-secure-it, on line, mail php, logos on line, interest, form php, e-mail, e mail], form mail php, line asp, line web, info line, web form format, credit card required, copy form, credit card accept, web mail, form card, real asp

Tietoa työnantajasta:
( 6 arvostelua ) Edmonton, Canada

Projektin tunnus: #12648