Hello Sir/Mam,
I'll fix all the issues on your website based on your requirements. I'll add those fields into the source form on your website. Please spare a moment to discuss this project.
I am new to freelancer and am looking for some really good feedback & creating a "WOW" experience for my clients. I am completed more than 200 projects. I have an experienced team to complete this project.
Looking forward to hearing from you.
Best Regards,
Kaushik