I am looking for a programmer to assist me with creating an online Form that contains text boxes and drop down fields that can be submitted to a specific email address.? There will also be some minor? graphical editing to a picture that we would like to include into the header of the page.?
This Online form will contain the following leads
What Game would you like to attend?? drop Down field
How Many Tickets? Text Box
Event Type: Drop Down Field
Special Requests: Text box with 500 characters
First name: Text Box *Required Field
Last Name: Text Box *Required Field
Company: Text box
Phone: Text Box *Required Field
Email: Text Box *Required Field
Preferred Benue: Drop Down Field
## Deliverables
For now we are looking to create this online? form? that will allow us to capture information from visitors that go to our site.?
I have a nice jpg that I would like to work into the header of the landing page but this is not crucial.?
This smaller project will be leading into a larger project as soon as we generate some cash flow.