Easy Form for reservation

已完成 已发布的 Jul 26, 2011 货到付款
已完成 货到付款

I need an easy form with the following content:

- Date selection (DD/MM/YYYY) *

- Time selection (24hours) *

- Drop down box to select up to 6 options *

- Title

- Surname *

- First Name *

- Company

- Tel

- E-mail *

- Comments box

- Tick Box to choose, if newsletter yes or no

Content has to be sent to an e-mail address in a nice readable format.

* compulsory fields

AJAX CSS JavaScript

项目ID: #1142234

关于项目

7个方案 远程项目 活跃的Jul 26, 2011

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SourceBurner

Looks like a strait forward task, please take a look at PMB. Regards

$30 USD 在0天内
(50条评论)
5.1

有7名威客正在参与此工作的竞标,均价$30/小时

neelwt4u

Please check the pmb. With best regards

$30USD 在1天里
(58条评论)
5.7
netbee

Hi i am willing to do this task , regards Sarah

$30USD 在1天里
(39条评论)
5.2
saqibilyas

please check pm.....

$30 USD 在0天内
(6条评论)
3.7
phankhanh

Please check your PMB.

$30 USD 在0天内
(3条评论)
2.8
nipunsinghal

Ready to work..

$30 USD 在2天内
(5条评论)
2.6
itresumesha

i can do it. lets start now

$30USD 在1天里
(1条评论)
0.0