Simple Wix Website for QR-Based Vehicle Contact System

One mobile-friendly landing page on Wix
Page content:
Title: Vehicle Contact QR
Use cases: Emergency / Accident / Wrong Parking
Button: “Contact Vehicle Owner”
Button should open a Wix Form with fields:
Reason (dropdown)
Message
Vehicle Number
QR Code ID
Form submission should:
Save data in Wix database
Send email notification to admin
QR code should open page like:
site.com/qr?id=123 (ID visible or captured)
Requirements:
Clean, simple design
Fully working demo before payment
Editable Wix access after completion
No paid apps, no extra charges
Payment Terms:
Milestone based
Full payment only after demo + testing