A Support contact form

已取消 已发布的 Feb 12, 2013 货到付款
已取消 货到付款

I need a ric text contact form with a capch and an upload feature created please the upload will be an attachment to the email sent.

I would like nice css turquoise gradient style for the fields.. on white background please..

I want the form to send me their ip address, their os, their host, their browser and country please.

It needs to have a thank you on submit function, just a simple thank you page.. I will adjust the template.

PHP

项目ID: #4238695

关于项目

5个方案 远程项目 活跃的Feb 13, 2013

有5名威客正在参与此工作的竞标,均价$68/小时

wwwlayer

Ready to work on your project.

$60 USD 在0天内
(144条评论)
6.1
vickymudgal

Hello Please check PMB Thanks

$150 USD 在3天内
(20条评论)
5.6
RazHarush

Within 1 day - Captacha, upload feature, the requested pages and free technical support! Award my bid now and we'll get working!

$50USD 在1天里
(7条评论)
4.2
teamvalid

Hi! I can develope this form for you with requirements. Accept my proposal and provide details about where it needs to be integrated. Thank you. ~Shakir Shabbir

$50 USD 在2天内
(1条评论)
3.8
bryandev

Ready to start right now! USA Based developer - Can finish in 1-2 hours

$30USD 在1天里
(3条评论)
1.8