Fancy / pretty PHP contact form


I would like a fancy/pretty PHP contact form with ajax validation. Fields as follows:

How did you hear about us? [text field] (watermarked Google)

Occasion [text field] (watermarked Wedding)

Event Date [text field / text field / text field] (watermarked DD / MM / YY)

Start Time [text field : text field : text field] (watermarked 7 : 15 : pm)

Finish Time [text field : text field : text field] (watermarked 12 : 00 : am)

Venue Name [text field] (watermarked Wick Farm)

Venue Location [text field] (watermarked Bath)

Is access via stairs? [Yes/No radio]

Title [text field]

First Name [text field]

Last Name [text field]

Email Address [text field]

Daytime Telephone [text field]

Evening Telephone [text field]

Additional Information [textarea]

All fields except Additional Information are required.

The submitted form should be emailed to me.

Fähigkeiten: AJAX, Javascript, PHP

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Über den Arbeitgeber:
( 157 Bewertungen ) Bridgwater, United Kingdom

Projekt-ID: #1504583

5 Freelancer bieten im Durchschnitt $64 für diesen Job


i am expert in php/mysql/ajax. please check pm.

$70 USD in 2 Tagen
(124 Bewertungen)

Nice project specs! Straight forward. I'll have this done for you by tomorrow. The form will have nice AJAX validation. More details in PMB.

$100 USD in 1 Tag
(30 Bewertungen)

Hi, please check PMB

$75 USD in 1 Tag
(24 Bewertungen)

I can create this fancy form for you

$50 USD in 1 Tag
(19 Bewertungen)

Hi, Consider it Done.. Right developer at your door...Hope to achieve next positive feedback from you !!! . Details sent in PM ."Always willing to walk extra miles to achieve Excellence"

$50 USD in 1 Tag
(17 Bewertungen)

I can do this job. [login to view URL] made by me. I can do this job.

$50 USD in 1 Tag
(17 Bewertungen)