Advertise here with BSA

We’ve teamed up with 123ContactForm, a user-friendly and powerful web form/survey builder, to give away five annual subscriptions to their Platinum plan (worth $299.95). Read on to see how you can win one of these subscriptions.
** Update: Giveaway Period Has Ended **

About 123ContactForm

123ContactForm is an online web form and survey builder. It helps designers create powerful web-based forms and surveys without any technical knowledge. This web app saves time and money in you having to develop and manage web forms and surveys.

You can use 123ContactForm’s robust and user-friendly WYSIWYG form builder, which has standard input fields and controls such as text boxes and dropdown menus. It also has more advanced features such as address, date and time input fields, image upload capabilities and even Google Maps integration.

To make things quicker for you, 123ContactForm has standard form types such as Event Registration and Order Registration (for online payment).

The admin Dashboard gives you useful information about your surveys, such as reports and traffic statistics.

For those looking to take on online payments, 123ContactForm has payment integration with PayPal, Google Checkout and

The web app also has one-click integration with popular third-party web services and tools like SalesForce, MailChimp and Google Docs.
123ContactForm has loads of other features for creating and managing your web forms and surveys. To learn more, take the 123ContactForm Tour and read their Features page.
Use 123ContactForm Free!

123ContactForm has a Free plan that gives you 5 web forms, 10 fields and up to 100 form submissions per month.
Sign up for the free plan now! It only takes a few seconds.

** Update: Giveaway Period Has Ended **

How to Win

For a chance to win, answer one or both of the following questions in the comments below:
  • How would you use 123ContactForm if you won?
  • What feature of 123ContactForm are you most excited about? (You can take their Tour, see the Features page or sign up for a free plan to help you answer the question.)
Giveaway Details

This giveaway ends on Tuesday, November 1, 2011 after which the comments section on this post will be closed and you will no longer be able to leave a comment. Please leave a valid email address when filling out the comment form so that we can contact you if you have won. Please only comment once. The winners will be randomly selected using a similar method as previous Six Revisions giveaways. The winners will be announced on a separate post. You are advised to subscribe to our RSS feed so that you can be quickly notified when the winners announcement post has been published. Please note that comments are moderated and so your comment may not show up right away. Please note that comments that do not follow the instructions on how to win (described above) may not be published, or may be removed later on.
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About the Author

Jacob Gube is the Founder and Chief Editor of Six Revisions. He’s also a web developer/designer who specializes in front-end development (JavaScript, HTML, CSS) and also a book author. If you’d like to connect with him, head on over to the contact page and follow him on Twitter: @sixrevisions.