Need Updates To My Website 2

I have this site:
http://s130859622.onlinehome.us/fischer/index.php

I need a contact widget placed on the left hand side of every page, similar to the widget titled “Schedule Consultation” here > http://www.orkin.com/commercial/about/

It should be a simple HTML email form. It does not need to go to a database. I will provide you with the email address.

It NEEDS to he a PHP include on every page – the include should point to one file, so that if i have to edit this file one day i do not have to do it on every page.

IE: <?php include ‘mail-widget.html ?>

I don’t care how you accomplish this, as long as it is easy to edit and it looks good. I will give you the text info that goes in the widget.

TERMS AND CONDITIONS:
1) Payment goes into escrow and is released when project is complete to satisfaction.

2) This needs to be done within 48 hours of bid accept time.

3) Unrealistic bids WILL NOT be considered. I am a web developer, and I know the time it should take to finish this. I am using script lance because I am too busy to do this myself.

4) If you did not read this entirely, DO NOT BID

5) you will work live on my servers, I will provide you with FTP access

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