Completed

php contact page modifications

I have a “contact page,” which is coded in PHP with sections of XHTML/CSS embedded. See attached copy of the PHP and CSS files.

It currently provides a number of fields for the viewer to fill in and submit – some required, some optional. It, also, sends me an email with the users contact information and opens up a window on their browser to thank them for their request for information.

I, now, want to offer a free report on my website, using a second contact page, but less entailed. Therefore, I need a modified copy of the current “contact page,” removing the address inputs, phone extension input, radio buttons and comments. That leaves only five fields on the new contact page: First Name, Last Name, Company Name, Phone Number, and Email Address – and of course the Captcha Code. We could call this new page “[url removed, login to view]”

Also, after the user submits a request I wish this script to send an email to that user with a .PDF (their free report) attached.

The new contact page should remain cross-browser compatible (IE-6 through IE-8, as well as for the last two versions of Opera, Google Chrome, and Foxfire - just like the current contact page.

Skills: PHP

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About the Employer:
( 1 review ) Indianapolis, United States

Project ID: #834992

Awarded to:

travis945

Hello, I am a programmer with a PhD in mathematics and a background in economics. I am a certified SQL expert and Zend PHP 5 engineer. I would enjoy working on this project.

$75 USD in 3 days
(2 Reviews)
2.7

31 freelancers are bidding on average $63 for this job

hungit

Hi sir, I can do it soon. please check your PMB.

$50 USD in 1 day
(21 Reviews)
5.1
amer12

Please check PMB. Thanks

$50 USD in 4 days
(37 Reviews)
5.0
jackdowsan

Hi, I looked into your current work. Please Check PMB

$75 USD in 1 day
(4 Reviews)
3.5
krishnakhadka

Please Check Pmb:)

$30 USD in 1 day
(8 Reviews)
3.4
Sutuma

I feel confident that I can provide you with the requested changes in your contact script.

$50 USD in 1 day
(7 Reviews)
3.1
vikrant86

Hello sir, This is Vikrant Randhawa from T.W.D (The Web Developers.) url ( [login to view URL] ). I just want to inform you that i am very good in the work which you want right know. If you want to see my More

$30 USD in 2 days
(1 Review)
2.5
webdesigner95

Hi, sir i will do this job. see inbox

$30 USD in 2 days
(3 Reviews)
2.2
Max02

Hi sir, I can do this. Please check your PMB.

$60 USD in 1 day
(3 Reviews)
1.6
nasimno

hello sir, i am expert in core PHP and css. i am sending you some examples please check your pm.

$70 USD in 1 day
(0 Reviews)
0.0
mindvisioncoin

[Please check PMB], Seeking your prompt reply.

$40 USD in 1 day
(0 Reviews)
0.0
thasan7861

Hai, Please see to your inbox. Thanks.

$50 USD in 1 day
(0 Reviews)
0.0
pearlsolution

Dear Sir, I can make this work for you, Regards, Umair Khan.

$100 USD in 7 days
(0 Reviews)
0.0
somu2prl

We have team of [login to view URL] per your requirement we will done it just in 2 to 3 hours.

$50 USD in 0 days
(0 Reviews)
0.0
dheerajsingh25

Hi,Your work is ready to move on your server.

$100 USD in 0 days
(0 Reviews)
0.0
ghoshkumarsamir

I can do it easily.I have done same [login to view URL] we will start work together as soon as possible.

$50 USD in 1 day
(0 Reviews)
0.0
sonaliks

Hello, I am new in freelancing, please give me a chance to work on this.

$30 USD in 1 day
(0 Reviews)
0.0
sanicafreelance1

I am having very good experience in PHP and Joomla [login to view URL] a chance is given to me, definitely proove myself.

$80 USD in 5 days
(0 Reviews)
0.0
mzerbinatti

Hi Sir, I can do this Project. Thank You.

$35 USD in 4 days
(0 Reviews)
0.0
nnrhead1

i have many project similiar project in scriptlance. If you give me your project, I would be finished nicely as you want. And to be very satisfied you. I give you full support. I'm wait in pmb. Best regards.

$60 USD in 1 day
(0 Reviews)
0.0
tzvishmuel

Please contact me via PMB for details of my experience. I look forward to working with you.

$75 USD in 1 day
(0 Reviews)
0.0