Small coding job needed looking for a programmer
 

Hi how much for this small programming. I need a form, with input texts and checkboxes. After user clicks submit i need the infos that are put in the input boxes and whatever checkboxes are checked to my email.

Hit me up if you can write this code for me

Icq 372373323
Skype: gfybloggerz

Hit me up on icq: 321168311

job is filled, thanks