Make Me A Custom WordPress Form In My WordPress Website

In my WordPress site, I need this exact form >> http://platinummoving.homestead.com/inventory/onlineestimate.htm

The form must function exactly the same as that link above with the same required fields. User must be able to submit the form and see a confirmation (just like attached). The submitted form entries must be submitted to a email address I will provide.

Thank you for reading, and please let me know about this.

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