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Customer service form with AJAX+DOM

Proyek ini diberikan kepada karellr dengan harga $25 USD.

Dapatkan penawaran gratis untuk proyek seperti ini
Pemberi kerja bekerja
Anggaran Proyek
$10 - $30 USD
Total Penawaran
2
Deskripsi Proyek

I need to create a web form very similar to [url removed, login to view]

I also need to check that entered email is an email address and that "confirm email" is equal to previous field (email).

Note that you can add more "requests" in section 3.

Note that each "game" has different "component types". This connection should be easily editable (XML file is gooed enough, no editor needed).

The form should be sent via email in a well readable shape.

I do not need any graphics or design.

Deadline is: ASAP.

Diberikan kepada:
Keahlian yang Diperlukan

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