Need a Form

Hi,

I'm a complete novice at this so I'm looking for someone to create an online form for me, here are the fields I need

Name
Email address
SL (dropdown list with 10 entries)
TL (dropdown list with 10 entries)
TofD (dropdown list with 5 entries)
Upload Attachement (A field which allows the user to uplad a file)
Comment (larger text box area where users can include comments)
And a submit button which will send all that information to my email inbox.

Looking forward to hearing from you all

Kind Regards
Matt

 

hi,
i can do that for you.. just sent you a PM

 

I can also do it for you, in case m_wc hasn't already finished the job.

 

HI Matt, I will do this quickly. So choose me if you need fast work. Thanks,

 

I have pmed you. =)

 

Price is $80 pm me

 

I can do this in $50
Contact with me on MSN or Yahoo

 

Hey,

I can do this for you, as i have 2 years experience in php/mysql coding and have good iTrader you can trust.
My price is: $50, paypal.

PM me if you are intreasted.

Thanks

 

question ... whether you want to do it yourself or you want someone to do it ?

if you want to do it yourself .... let us know what you have now ... do you have a web page, etc ...

 

If you still need it to be done, let me know. You don't have to pay for it as it hardly about 10 minutes task.

Thanks