226912 Quote Forum


My friend that is a programmer said this wouldn't be to much money to have made.

It's fairly Easy.

I need it to be php or html doesnt matter.

I need the background to have the color I want, same with the tables and the table borders, along with the text color inside the tables ect ect.

I need it to be very basic and directed to my email when the user hits send.

Here is what I need it to do.


Random Text up top that I can edit here.. lalala.

[B]First Name:[/B] [text box] [B]Last Name:[/B] [text box]


[B]Company Name:[/B] [text box]


[B]Phone Number:[/B] [text box]


[B]Email:[/B] [text box]

Confirm Email: [text box]


[B]Current Website:[/B] [text box]


[B]What does your Web project entail?[/B] [Radio Buttons]

+ Build a New Web Site

+ Rebuild an Existing Web Site

+ Updates or Maintenance of an Existing Web Site


[B]Please describe your project:[/B] (i wanna add something right here)

(big text box allow 1,000 characters)


[B]Which option best describes your Web Design needs?[/B] [Radio Buttons]

+ General Web Design + Healthcare Web Design

+ eCommerce Web Design + Real Estate Web Design

+ Other

[B]What types of features will your Web Site require?[/B] (check all that apply)

[this will also be radio buttons]

+ Auction + Dynamic or Updateable Content

+ Blog + Flash/Multimedia

+ Catalog and Shopping Cart + Membership/Social Networking/Dating

+ Customer Login + Adult

+ Discussion Forums + Gambling

+ Donations

[B]Estimated pages needed, including home page:[/B] (radio buttons)

+ 1 - 5 pages

+ 6 - 10 pages

+ 11- 20 pages

+ 21+

+Ecommerce Site with multiple pages

[B]What additional services will you need?[/B] (check all that apply)

(radio buttons aswell)

+ 3D Animation + Audio Producing

+ Business Cards + Printing

+ Graphic Design + Web Hosting

+ Video Production + Gaming Production

+ Online Game Filming + Online Marketing

+ Paypal + Logo Design

+ Other.

[B]If you selected other please explain here: [/B]

(text box allow 400 characters)

[B]Project Budget :[/B] (radio buttons)

$250 - 500 (Small Budget? Try a website builder)-that should link to geocities

$501 - 1000

$1001 - 1500

$1501 -2000

$2001 +

[B]How soon would you like to start this project:[/B] (radio buttons)

+ As Soon as Possible

+ 1-4 Days

+ 1 week

+ 1-3 weeks

+ A while.

[B]When is your deadline:[/B] (text box)



[B]Thank you for filling out this request sheet, we will get back with you with a quote, we are sorry for such a long request form, however, the most details we can get from you the best accurate quote we can get you.




Taidot: kaikki käy, CSS, tiedonsyöttö, HTML, PHP

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Tietoa työnantajasta:
( 3 arvostelua ) SLC,

Projektin tunnus: #1973150

Myönnetty käyttäjälle:


READY WITH THE [login to view URL] in html,css &[login to view URL],Baseer

$25 USD 0 päivässä
(358 Arvostelua)