Bootstrap PHP / MySQL Simple 2 Input Form ( Responsive )

I am attaching the exact form style that I need you to build. It will need to have the logo centered above the form ( just as seen in the example ) - the form will need to submit to MySQL and store:

Email Address

First Name

DateTime of Submission

On Submit - We need to display a thank for message for 2-3 seconds and clear the form to be used again.

Max Budget $20

Taidot: Bootstrap, PHP

Näytä lisää: simple php mysql form, simple php mysql based registration form, form input upload php mysql, simple php mysql registration form, simple php mysql update form, simple php mysql search form, simple php mysql form validation, simple php mysql video upload script, simple php mysql gallery, simple php mysql database

Tietoa työnantajasta:
( 122 arvostelua ) Knoxville, United States

Projektin tunnus: #9665238