create an online form (apllication form)

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

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

N° du projet : #8462536

Décerné à :


I have been a professional Web Developer for 2 years, and very familiar with , WORDPRESS, Woo-Commerce , MAGENTO, PHP, MYSQL, CORE PHP, Codeigniter,Cake PHP, Laraval, Yii , HTML 5, CSS, JQuery, and JQUERY. During our 2 Plus

20 $ USD en 1 jour
(1 Commentaire)

17 freelance font une offre moyenne de $36 pour ce travail


Hi, good day! Can you please send sketch or a detailed outline on the fields you need? I'm available and hoping to hear from you.

83 $ USD en 1 jour
(388 Commentaires)

Dear Sir, I am really interested to work on this project . I have very good experience of doing this sort of job, I can start the work now and can assure the best service from my end. I am waiting here to discuss Plus

50 $ USD en 1 jour
(227 Commentaires)

sir,i have 5+ years experience in web-design and web-development,wordpress. I know responsive design , bootstrap framework , Html5 . I building 70+ website and i interested to do your project. My latest mobile frie Plus

25 $ USD en 1 jour
(72 Commentaires)

hi, I read your requirement and feel it is a easy job for me As I already developed and customized PHP/HTML websites for clients. I have more than 4 years of experience in web development area Technologies like PHP/W Plus

45 $ USD en 1 jour
(55 Commentaires)

Dear Sir I have read your requirement and i will make a form and setup email function that any user fill the required form then you will get a mail.

25 $ USD en 1 jour
(45 Commentaires)

Yes sir i will complete your online form with quality work and complete within 1,2 hours. Sir i will start work immediately and update you step by step as demo. thank You Hope a good news from your side.

30 $ USD en 0 jours
(40 Commentaires)

A proposal has not yet been provided

25 $ USD en 1 jour
(24 Commentaires)

Hello Friend I am ready to start right now I have read your project very carefully and I understand what you want. thanks for good and clear explanation I have almost done many work like this. I have very good Plus

100 $ USD en 3 jours
(14 Commentaires)

Hello, We are a team of professionals. We design and develop websites, logos, banners, business cards and do others designing jobs. We will try to satisfy your needs within the given time period. Please chat for fur Plus

25 $ USD en 3 jours
(3 Commentaires)

Hi, I have read your Job Description and I think I have the skills your are looking for. I have very good skills of HTML, CSS, bootstrap, Jquery and etc. I can make your work with full efficiency and fulfill our req Plus

19 $ USD en 2 jours
(5 Commentaires)

Experienced in designing websites with forms(eg: contact form for a personal website). Built a PHP form to work with android app( receive data from android app, query SQL server and send response to it).

25 $ USD en 1 jour
(0 Commentaires)

A proposal has not yet been provided

15 $ USD en 10 jours
(0 Commentaires)

Hi, I have just finished my IT studies and I would like be a freelancer. I don't have a portfolio and no reviews on this site so I will develop this form for the lowest budget if you will give me a review. At school Plus

10 $ USD en 2 jours
(0 Commentaires)

Hi I'm a web developer proficient in both frond and back end development with PHP as well as frameworks most especially in Laravel 4/5 etc. for almost a year. If you are interested we can discuss the project you want t Plus

25 $ USD en 1 jour
(0 Commentaires)

Hello, The new inquiry form has to be created along with some required fields like Text Box, Check Box, Date, etc. The form will contain the couple of input fields to add text, date picker to select specific date Plus

55 $ USD en 2 jours
(0 Commentaires)

we have 2 year of experience in php. you can check our all work from our website. [url removed, login to view]

30 $ USD en 1 jour
(0 Commentaires)