From the myContactForm.com website:
Create free contact forms, feedback forms, surveys, polls, or any other type of web form. Easy to use with robust features including CAPTCHA and attachments.
Form Data, Polls, and Surveys, myContactForm.com
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Add ReviewWalks users through the process of building a contact form, and outputs HTML code to paste on a website. Includes CAPTCHA, file attachments, field validation, and more.