Amazing "Contact Form"

Closed Posted Apr 24, 2014 Paid on delivery
Closed Paid on delivery

Hello.

I need to built an amazing "contact form" with the following requirements:

- Must have two levels

1) First, the user chooses between 5 car options.

2) Then, the user chooses one of the three motors inside each car option... and also fills the blanks ( Name, Lastname, Email, Phone, Comments)

- Must be embedded in an image to get a fancy special effect, something like this:

(Form area in red): [url removed, login to view]

This is what I mean with "embedded in an image":

[url removed, login to view]

[url removed, login to view]

[url removed, login to view]

- Must be visually engaging, appealing, polished and professional.

- Must be able to be seen and used on a website.

- Must be able to be seen on a Mobile device (Just to be seen, I´m not asking for a responsive desing).

- Must be setup to send the forms to Email.

Please let me know if you have any suggestions!

IMPORTANT:

1) If you are interested, post a link here with your previous work or similar. I will look them over.

CSS HTML5 PHP Website Design

Project ID: #5852337

About the project

10 proposals Remote project Active May 31, 2014

10 freelancers are bidding on average $25 for this job

manu617

I can work on this as per your requirement and complete intime with good quality and well commented responsive design..... and deliver to you intime.. see below for the portfolio Pls. let me know in case you need more More

$25 USD in 1 day
(7 Reviews)
4.4
munjalmayank

Hi, Greetings! I am one of the best Freelancer in Wordpress / eCommerce (opencart) / HTML / CSS / Javascript. Do let us know your thoughts on the same.

$25 USD in 2 days
(22 Reviews)
3.8
sourishdutta

I have done this before.... i am sure i can make you 200% satisfied... with my team's 110% effort... not only that want to set up a long term relationship

$15 USD in 1 day
(4 Reviews)
3.4
radubran

A proposal has not yet been provided

$25 USD in 1 day
(14 Reviews)
3.4
nvidura

A proposal has not yet been provided

$15 USD in 1 day
(11 Reviews)
2.7
leviet

Hello, i can help you now. Contact with me, thanks"- Must have two levels 1) First, the user chooses between 5 car options. 2) Then, the user chooses one of the three motors inside each car option... and also fills More

$30 USD in 3 days
(2 Reviews)
0.7
contactvidura

Hi khan, I have read through your project description carefully and I am confident that I can complete this project within the designated time period and your budget. I will guarantee your 100% satisfaction. Can we dis More

$20 USD in 1 day
(2 Reviews)
0.4
vivi92

Good at PHP 5,, for your great form i suggest used bootstrap and bootsnip for great view, structure, and functional. also fast development for reach your milestone. Please contact me freely for further information More

$20 USD in 1 day
(0 Reviews)
0.0