In Progress

Contact Form with Selectable Receipents

I need a simple contact form, with a drop down menu with contact names, a user selects the person from the list and the data captured from the form is sent to the contact. I also need a confirmation to the user. There are tons of free php scripts on the web that can process a form I just need one that can handle multiple receipents.

This should be a quick job. I have all the info you need and would like the job done today if possible.

Skills: AJAX, PHP

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About the Employer:
( 12 reviews ) Virginia Beach, United States

Project ID: #445869

Awarded to:

php4world

Hello! Please check your PMB.

$40 USD in 0 days
(143 Reviews)
6.8

41 freelancers are bidding on average $41 for this job

lightcresent

Get it done today... No upfront needed, all payments through GAF escrow.. Can start right away.. Thanks

$45 USD in 0 days
(483 Reviews)
9.0
websree

Hi, Kindly review pmb for more details. Thanks

$40 USD in 0 days
(199 Reviews)
7.9
rockerstech

Ready to do

$85 USD in 2 days
(81 Reviews)
7.7
sureshdevi

I can do this work. Thanks, Suresh

$30 USD in 1 day
(718 Reviews)
7.5
kssoftphp

I can do your work today. I have good experience of php web development. Please reply me.

$30 USD in 1 day
(87 Reviews)
6.8
webofsolutions

we can do it. we are ready to start from now.

$30 USD in 0 days
(194 Reviews)
6.7
ichurakov

Ready to start right now. Thnx.

$45 USD in 0 days
(219 Reviews)
6.3
halezabux

Hi,Please see PMB.Thanks.

$40 USD in 1 day
(49 Reviews)
6.3
IceStormz

lets get started please check pmb.

$40 USD in 1 day
(61 Reviews)
5.9
utpal4job

Ready to start right now. Please refer PMB. Thanking you.

$30 USD in 0 days
(64 Reviews)
5.9
vindhyavart

Hi, It will be accomplished within 24 hours.

$30 USD in 0 days
(45 Reviews)
5.9
ranacseruet

I can start roght now & get u this done in next few hrs. Thanks

$30 USD in 0 days
(43 Reviews)
5.9
zub

Hello Sir, Please see the PM. thank you. With regards Zub

$30 USD in 1 day
(48 Reviews)
5.8
SourceBurner

Hi, please take a look at PMB. Regards

$30 USD in 0 days
(88 Reviews)
5.6
NeoNoXtraOrdnry

Hello sir, I will be more than happy to serve you. I am very experienced to do such jobs. Regards

$40 USD in 1 day
(77 Reviews)
5.4
leprakhauns

See PM for details.

$50 USD in 1 day
(46 Reviews)
5.4
ShahidMahmood

Will be done within next couple of [url removed, login to view] to [url removed, login to view]

$30 USD in 0 days
(27 Reviews)
5.0
sureshmca06

Hi i can do it within few hours., Lets proceed., Please check my PM., Thanks.,

$30 USD in 0 days
(15 Reviews)
4.9
gtservices

hi, Please check PM. regards, Amit Chougule

$30 USD in 1 day
(13 Reviews)
4.7
chathura86

ready to start now

$30 USD in 0 days
(17 Reviews)
4.6