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HTML / CSS Form

I need a business form created using html and css. No tables. I am attaching the required fields in a PDF. I also have an example of design, but it won't let me upload it. I will get it to you.

For the fields, the ones that do not have options listed, they are just a text box. The ones that do have options listed will be radio buttons. And for the ones that have an "incorrect answer" listed, if that option is chosen, then the other information (cite, description, and risk) will pop up as a drop-down field using javascript for the person to either choose it or Other. If Other is chosen, another text box field pops-up to fill in.

Important!

-- I need this to be done in 3 stages - first with the fields from just the first page and the design completed, Also the the javascript pop-ups described above only completed on the first one.

-- Second, the remaining fields added to the form.

-- The design and pop-ups will be approved by my client - there may be changes to it - then the rest of the form with all of the javascript completed.

If your bid will be more than $100, don't bother. I will need the HTML, CSS, and Javascript files.

I need the first draft of it as soon as possible.

Edited to add: While I think it's great that you think you can do the job, if you do not send me examples of your work or a private message so I know I can communicate with you, you are wasting your time.

The documents are in the Project Clarification Board.

Compétences : Adobe Dreamweaver, CSS, HTML, Javascript, Design de site internet

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Concernant l'employeur :
( 1 commentaire ) Brentwood, United States

N° du projet : #1075955

Décerné à :

danieloraca

PMB first please.

100 $ USD en 1 jour
(35 Commentaires)
4.8

12 freelance ont fait une offre moyenne de 70 $ pour ce travail

expertspk

Hi, i can create your form . Please see your inbox. Thanks

90 $ USD en 3 jours
(90 Commentaires)
6.4
dataconsultants

Please check PMB for details. Thank you

90 $ USD en 2 jours
(31 Commentaires)
4.6
aladinooo

Hi, I am very interested. I need you though to walk me through the PDF document to understand fully the job. Thanks

30 $ USD en 1 jour
(10 Commentaires)
3.5
dflash

Please see pm

50 $ USD en 0 jours
(2 Commentaires)
2.2
sanjaysidana101

I am very much interested in bidding on this project. I like to say about me: My core competence is into website design and development, web application development using PHP 5 as the front-end and MYSQL as the back-en Plus

95 $ USD en 2 jours
(1 Commentaire)
1.4
Crazywebs

Hi, check PMB

45 $ USD en 3 jours
(0 Commentaires)
0.0
SwatiSYadav

Hi , I can create the form.

60 $ USD en 3 jours
(0 Commentaires)
0.0
Sehaj11

Hi, i can do this thing. Check your pmb.

45 $ USD en 3 jours
(0 Commentaires)
0.0
Ristepz

I can do the job

50 $ USD en 2 jours
(0 Commentaires)
0.0
dmoret27

Professional Web Developer is Ready get started right now and will finish in no time. Please check your PMB

95 $ USD en 2 jours
(0 Commentaires)
0.0
oahson

Hi, I might help you out with your form. Please check PM. Regards,

95 $ USD en 3 jours
(0 Commentaires)
0.0