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How to develop customiosed contact page using Drupal 5.7 ?

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sir,
I am developing a website using drupal 5.7.
I have to develop a contact page as follows

Name*(Label control) a corresponding textbox field (textbox control)
Organization*(Label control) a corresponding textbox field(textbox control)
Email Address*(Label control) a corresponding textbox field(textbox control)
Telephone Number*(Label control) a corresponding textbox field(textbox control)
*denotes mandatory fields(Label control)

I am interested in getting more information on the following

Option 1(Label) Check box
Option 2(Label) Check box
Option 3(Label) Check box
Option 4(Label) Check box

Note:-The above Option buttons and their labels are fully controllable by the CMS, allowing Options buttons to be added, edited or removed at any time.
How can I make a similar design and achieve the above functionality?
Which module I have to add for this?
Thanks and Regards,

Comments

Survey

Richard Eriksson's picture

Check out the Survey module, which will give you fields you can add to a contact page, the "results" of which will go to your email address. Though it's for the 4.6 version of the module, our instructions on using the Survey module as a contact form should be helpful.

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