Contact form that captures screen shot

Advanced W.OMTech M.Decosoft S. have already sent a proposal.
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Experience Level: Intermediate
We need a new contact form designed for our website that screen shots and sends the screen shot along with the form. Please see the website for more info- we want the formto screenshot so that when we receive the form we have a screenshot of the sliding calculator that the customer has adjusted to their liking and we can see where they have put the sliders to

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