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PHP Dynamic Form From Image


Beedy555

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Hi,

 

i am creating a web application, and i would like some help/advise on how to tackle a problem. I need to make an image i have into a contact form, with four fields, which basically posts information into a database. I am not sure how i would go about doing this as i will need to make each of the fields dynamic to post the data. I have attached the image to make my point a bit clearer.

 

thanks

 

[attachment deleted by admin]

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