Need a programmer to create a client questionaire form with around 20 fields in total. this might be a long form on one page, or we might break it up into 3 or 4 chunks.
Needs to fit in with current site design (nice alignment, spacing, etc) and w3c validate. Using CSS for form styling.
Form needs validation, a captcha for security and tooltips (help when you hover over the field). Examples can be supplied.
CGI / Perl to email the data to me.
Basic link to PayPal (no cart, just check boxes for products).
Needed quickly. Copy and paste applications will be ignored. Thanks.
About us - We are a small and growing online marketing agency based in London.
## Deliverables
1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.
2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):
a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.
b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.
3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).
## Platform
xhtml css cgi