We need a developer to design a jquery popup contact form using PHP, JAVA, etc which we will need to be able to modify and tweak some fileds ourselves (we have basic knowledge of php).
Submit form must have the following:
Ability for admin to add/remove fields using true/false statements
Custom fields required:
1.text fields
2.check box
3.radio button
4.drop down box
Email validator/checker (to ensure user has entered a valid email address)
Redirect to URL if user’s javascript is disabled on browser
Browser/Javascript compatibility
User must stay on same form when they submit, a successful sent message to confirm
Contact form must have url link to home page after customer submits
Spam protection – Ability to enable/disable captcha
Tick box to allow customer receive a copy of the message
Please see attachment for a direct link to the form we have on our current site.