website additions -- 2

Job ID: 31682402

Budget: $10 – $30 USD

https://www.aaaahosting.com/index-dev.php

need a pop up order form, after clicking apply now.

new domain (tick box) / transfer domain (tick box) / I will manage my own domain registration (tick box)

Domain: (mandatory)

Contact details: (below mandatory)

Name:
Surname:
Email Address:
Contact Number:
Physical address:
Additional queries:

submit

Please develop on your own dev server.
no backend development needed, only front end. Find attached php submit file to post too for your tests.
Related categories: Website Design Graphic Design HTML Bootstrap jQuery