Pop up Javascript form with quick contact form inside (PHP)

Closed - This job posting has been filled and work has been completed.

Job Description


I have a simple website design on a LINUX webserver.

When the user clicks a link it needs to pop up a Javascript form that has a contact form inside it. The form needs to send the data to my email address using PHP...

Here is what I need:
(except a href links not buttons)

That is pretty much exactly what I need but there code interferes with the CSS code of my current site.

So if you can do this and your solution will work on all browsers get in touch with your Skype.

Please only apply for this if you're 100% certain you can do this right now.

Start your application with the word MAILFORM.