Custom Contact Form Needed For Website

In Progress Posted Oct 2, 2012 Paid on delivery
In Progress Paid on delivery

I need a contact form built for my website. The contact form must be able to redirect to my specific URL that I will choose. Also the contact form will require 6 fields. I attached an example of a similar form to this gig please see below. The maximum price I will pay for this is $30. You will also need to attach my autoresponder to the form also. If you have any question please contact me.

HTML PHP Website Design

Project ID: #2533172

About the project

7 proposals Remote project Active Oct 3, 2012

Awarded to:

phuanh2412

ready to start now

$30 USD in 1 day
(4 Reviews)
3.2

7 freelancers are bidding on average $34 for this job

ahtsolutions

Greetings! Best of Freelancer.com to assist you on your project. I offer you the highest level of skill. Please view PMB for our portfolio. Best regards, AHT SERVICE AND TECHNOLOGY DEVELOPMENT JSC

$50 USD in 1 day
(575 Reviews)
9.0
Creativeartbd

Dear S/M, I can create your given contact form with proper validation. I highly interested to do the project right now. Thanks.

$30 USD in 1 day
(151 Reviews)
6.8
web24service

I am ready sir...I need highest 1 or 2 hours..

$30 USD in 0 days
(86 Reviews)
6.5
girgis77

Hi, i can get it in 1 hour, check your inbox please

$30 USD in 0 days
(126 Reviews)
6.0
Days

Hi my friend, I can do it for you! Will be a pleasure!

$30 USD in 0 days
(34 Reviews)
4.6
ishraffi

I can finish this in no time.

$35 USD in 1 day
(0 Reviews)
0.0