Make the contact us section on a webpage work with 4 required** fields : Name, Phone, Email and Message

Budget is $11.00 Hello I will provide the Web template where you need to make the following changes: Make the contact us section on a webpage work with 4 required** fields : Name, Phone, Email and Message at the bottom section of the page. Need it done within next 1` hour. Preference will be given to some one who is ready to provide working sample on his/her site.