PHP developer - contact form - easy $10

99online

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Hi,
I have one html page and with one contact form included with following inputs :
- Contact name
- Company name
- email address
- domain name
- contact number
- text input 1
- text input 2
I need to make it live and somebody to make validation of the inputs and when all correct when click SEND button to receive copy of all content into my email address and pop up box with message "Thank you! We will contact soon bla bla .. - no alert box just small windows in the center with this message and "X" close button
That is all, my budget is $10 .
Thanks!
CLOSED! We found our person! Thanks!
 
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