Fermé

create an online form (apllication form) -- 2

i require a single html or php page to be used as a form for input of information from clients. the page will have be as follows

[url removed, login to view] division will be 960px wide

2. the form will be divided into have 3 sections

3. it will have string/text input fields, it will have a number input field

4. it will have a date field + date picker

5. it will have check box

6. all fields will be required therefore it will be validated

7. it have 4 pdf and .doc attachments input fields

8. on clickin submit form will send all information to an email in a formatted and presentable way and show a success result on screen

Compétences : Conception graphique , HTML, PHP, Design de site internet

Voir plus : graphic design text online, design pdf online, design number online, design box online, create graphic text online, create online form email pdf, create fillable form pdf word form, create fillable form pdf convert existing document, create online form php, create word form pdf, registration form pdf doc, conver form pdf doc, create online form joomla, javascript create online form, jquery create online form ajax

Concernant l'employeur :
( 7 commentaires ) Gaborone, Botswana

N° du projet : #8464813

20 freelance ont fait une offre moyenne de 28 $ pour ce travail

LuigiWidmore

Hi , My name is Luigi Widmore and i have 8 years of experience with HTML/CSS JavaScript/jQuery PHP/MySQL and Design/Photoshop. I carefully read your project description, i'm confident that i'm the man for this job. Plus

34 $ USD en 2 jours
(123 Commentaires)
6.5
neekweb

Hello, I am Aakash from NeekWeb Software Solution ([url removed, login to view]) I`ll be glad to work on your project. You can test Our work quality through the samples of my previous projects, in which we success to satisf Plus

35 $ USD en 1 jour
(38 Commentaires)
4.9
ruwanjayawardena

hi, I can complete your project .chat me for discuss about your project requirement in detail thank you, Ruwan jayawardena

30 $ USD en 1 jour
(15 Commentaires)
4.8
sivubio

Dear Sir/Madam, I am Siva, from India. I have 5 year experience in PHP, Codeigniter, MySQL, HTML5 and Angular.JS. I can do this online form in 1-2 days. Sky-pe chat are possible. The samples of my previous works are g Plus

20 $ USD en 2 jours
(7 Commentaires)
4.3
ladykillah

I'm ready to start right now. I have 4 experience years for html/css/javascript/php, responsive design and wordpress/opencart CMS, Zend/Codeigniter/CakePHP Framework... So i can do this for you. Some sites that I d Plus

30 $ USD en 1 jour
(17 Commentaires)
4.4
nadiashams

A proposal has not yet been provided

30 $ USD en 2 jours
(30 Commentaires)
3.9
aminovishb

Aucune proposition n'a encore été fournie.

25 $ USD en 1 jour
(10 Commentaires)
3.7
EmpowerYourWeb

I can get your form built quickly. Turn around within 24 hours. You can be sure if you choose me your project will get completely accurately to your specifications.

30 $ USD en 1 jour
(2 Commentaires)
3.1
wasimmukta

As a competitor for this bid i would say that i had already done this kind of project earlier for various organization which have been running smoothly till date. We team up for taking various projects. it helps to co Plus

30 $ USD en 1 jour
(0 Commentaires)
0.0
Vipunen

Hi, made a quick demo here [url removed, login to view] if you want to check it out. Happy to answer if any questions comes in mind! Kind regards, Tatu Rahja // Vipunen Solutions

25 $ USD en 2 jours
(0 Commentaires)
0.0
jex2000

A proposal has not yet been provided

25 $ USD en 1 jour
(0 Commentaires)
0.0
MohammedSalahiq

i can deal with that ... and create a form with custom style .. and i have no job to do ..so mor time to work on what u need

25 $ USD en 1 jour
(0 Commentaires)
0.0
xeathprynx

i am html , php expert and i can complete your task in less amount and with 100% guaranteed. Pm for further details.

25 $ USD en 1 jour
(0 Commentaires)
0.0
mewael

Hello I can do this job it right now the job won't take to much time This is my offer : -----> During the discusion and before you hire anybody - you send all the details Plus

10 $ USD en 1 jour
(0 Commentaires)
0.0
booba2003

Предложение еще не подано

35 $ USD en 3 jours
(0 Commentaires)
0.0
Linuslind

Ive been doing alot of "contact forms" etc in my life. The design will be very simple and easy to change.

25 $ USD en 3 jours
(0 Commentaires)
0.0
egolt

Hello, We are developers of Egolt ™ and have lot of experience in PHP & Joomla! Extensions.(You can see the quality of our codes by downloading our free extensions from the Egolt website). So this is an easy job for Plus

25 $ USD en 1 jour
(0 Commentaires)
0.0
LadoraIT

I will follow your all instruction as you describe. From html input form i will process all data with form validation after the process i will send an email to a specific email that may be provided by you.

30 $ USD en 7 jours
(0 Commentaires)
0.0
indexosolutions

Ainda não foi fornecida uma proposta

45 $ USD en 2 jours
(0 Commentaires)
0.0
akramkimo

it's so easy,just accept my bid sir

30 $ USD en 1 jour
(0 Commentaires)
0.0