Looking for someone to code a simple HTML email form that we can plug directly into our website. It can use whatever programming language you want - our site uses PHP/Cubecart however. The form will send an email to a specified address that has all the choices on the form that they filled out. None of the fields are required.
It uses a combination of text boxes, radio buttons and checkboxes.
We need this URGENTLY so please don't bid if you can't get it done with 2-3 days. We will be selecting a winner in 1 day.
The form will look similar to this form:
[url removed, login to view]
Here's all the options:
1. Select your diamond shape [CHECKBOX MULTIPLE CHOICE W/ PICTURES]
Round, Princess, Emerald, Marquise, Oval, Radian/Cushion, Pear, Heart, Trilliant
2. Color [CHECKBOX MULTIPLE CHOICE]
D, E, F, G, H, I, J
3. Clarity - [CHECKBOX MULTIPLE CHOICE]
FL, IF, VVS1, VVS2, VS1, VS2, SI1, SI2, SI3, I1, I2, I3
4. Enter your size range in carats: [DUAL TEXT BOX]
Sixed from XXXX to XXXX carats
5. Select your certification [ONE CHOICE - RADIO BUTTON]
GIA/EGL/Other[w/ text box]/None
6. Select your diamond cut grade(s): [CHECK BOX MULTIPLE CHOICE]
Ideal, Very Good, Good, Fair
7. Enter your price range: [DUAL TEXT BOX]
Priced from $XXXX to $XXXX
8. Name [TEXT BOX]
9. Email [TEXT BOX]
9. Phone [TEXT BOX]
10. Comments [TEXT BOX]
Should send an email to an email address with all the information filled out.