I will script and stylize your html form just the way you want it. You can then include it on your website to capture user input. On the basic service, i will only provide an html and css file of your form (you have to find a way to process the data once inserted). Now, if you want me to include a PHP script to process all the data captured, you have only to add 20 bucks more and just tell me what you want your data to do (this will include: send all the information to an specific email, send all the information to a "json external txt file", or send all the information to a database), JUST ONE OPTION PER EXTRA.
Note: if you want me to record your data on to a database or an external "json" file, i will provide the database (sql file)/ json file, the php script, the html for the form, the css style sheet and a notepad file with the installation information. I WILL NOT DEPLOY IT ON YOUR SITE (i will explain how you can do it without any problem. Just bare in mind that's a service your hosting provider has to permit in order to work. If your hosting doesn't allow this kind of services, please don't blame me).
Thank you very much for stoping by!
HTML & CSS
Design your form (until 25 fields)
I will design and stylize your html form, and prepare it for data processing.