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Miracles group - Email customer request form page

I need a new page called "Manual Quote Request Form"

With a link called "Manual Quote Request Form" at the bottom of the contact us links in footer.

On the page to say:

Header: Manual Quote Request Form

Fill in all the information fields below to request a manual quote.

Please note, if your items are under the $300 minimum, we will round it up to the minimum. If your event is outside Canberra / Queanbeyan metro we cannot provide a quote.

All conditions must be read here: [login to view URL] before requesting a quote.

If your order does not meet the conditions, we will not send you a quote.

Please note, you can also receive an instant quote by registering (at the top right of this page) then send through an order. Your order remains a quote until we receive a downpayment.

Field 1) <first name> <last name> <company name>

Field 2) <email address>

Field 3) <mobile phone number> <alternate phone number> (these can't be the same)

Field 4) <delivery address> <suburb> <postcode>

Field 5) <drivers licence number> <drivers licence state>

Field 6) <delivery date> <morning or afternoon delivery?> <pickup date>

Field 7) <purchase order number>

Field 8) <equipment required and quantity> (large size field)

Field 9) <Would you like McHugh Hire to clean the equipment after use or clean it yourself?>

Button at bottom <Submit Quote Request>

Miracles instruction:

All fields are required except for the <purchase order number> field

When submitted, it needs to be sent to our bookings@mchu..... address and the customer's email address.

The customer will be directed to a page that says "Thank you, your manual quote request has been submitted!"

The email should say: Thanks for your manual quote request, we will send you a quote shortly!

All fields information to also be on the email.

Beceriler: PHP, HTML, WordPress , CSS, JavaScript

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İşveren Hakkında:
( 14 değerlendirme ) WANNIASSA, Australia

Proje NO: #27854732

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