Hi,
I Just had a look at your project, it seems that you need a php developer who can fix the bug in your existing form.
Here is my small introduction,
My name is Sudhakar Kumar and i have experienced in web designing using latest technology, like HTML5, Css3, JavaScript, jQuery, Bootstrap, PHP and Mysql.
it would be great if we could have a little discussion about your project before awarding it to anyone,so that i can have better understanding of your project.
your decision will be appreciated under any circumstances.
Regards
Sudhakar Kumar