522679 Simple PHP Form

What I want is a PHP file which includes:

- A form

- Form validation

- Captcha Protection

--A form

Here are the form fields:

- First Name (text)

- Last Name (text)

- Address (text)

- Zip Code (text)

- Country (Drop down list)

- Email (Email)

- Telephone (text)

- Notesa (text-area)

- Notesb (text-area)

- Terms of Service (check box)

- Submit button

When a user clicks the submit button the form is submitted to my e-mail address.. The e-mail

message includes all the information of the form..

ATTENTION! The sending of e-mails must be done so as to use utf-8 encoding (Unicode) both in the

subject of e-mail and e-mail message..

--Form validation

All fields are required.. The form must only accept a valid email..

--Captcha Protection

Use a nice captcha image to protect from spam..

Beceriler: Her şey Kabul, PHP

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İşveren Hakkında:
( 9 değerlendirme ) Florina, Greece

Proje NO: #2268617



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