Contact form amendments on medical website.

已完成 已发布的 Feb 20, 2014 货到付款
已完成 货到付款

I have a simple html website (medical services) which needs the contact form amended.

These are the basic amendments:

'Service required" - needs to have a drop down menu for the services.

Appointment times - should be able to select a date from a 'pop-up' date option.

Thats it.I need someone to do it now.. asap.

HTML PHP

项目ID: #5465856

关于项目

9个方案 远程项目 活跃的Feb 21, 2014

授予:

coolguyinus2004

10+ years of experiance in programming PHP/MYSQL. I had done much programming into development and also bug fixing all these years. You can check my profile for my reputation and ranking . I can work on this project an 更多

$30 AUD 在1天内
(351条评论)
7.7

有9名威客正在参与此工作的竞标,均价$65/小时

pivn

hi sir, Let me do this ..................................................................................

$40AUD 在1天里
(199条评论)
6.7
tsiskreli82

Hello! I'm good in html and php. Can start doing it right now and will need couple hours to finish this word.

$30AUD 在1天里
(30条评论)
4.5
ryanmcl6

Hello, My name is Ryan McLean, I am a experienced website developer, designer and coder! I also design logo's and an expert in Internet marketing. I am extremely interested in helping you achieve your hopes and goa 更多

$15AUD 在1天里
(1条评论)
0.0
tonchhie

A proposal has not yet been provided

$25AUD 在1天里
(1条评论)
0.0
SoluCreative

Aucune proposition n'a encore été fournie.

$25AUD 在1天里
(0条评论)
0.0