I require a very simple page/form set, identical to this :
[url removed, login to view]
All fields should be required, when sent, the information will be emailed to mE.
There are some other functions, like my account and such, but these will be part of another, different project.
I need this done today.
No escrow. Payment in full once delivered and approved. Budget is $20
Any questions please ask.
Please check Profile and reviews. Ready to start.