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Simple PHP form with conditional fields

Create a php/html user registration form based on a css style we provide. The page provides the following 3 functions:

1) Collect basic user registration information (name, address, phone etc) and does basic data format/validity checking (ie. email format ok, phone format, ok, etc)

2) Conditionally accepts other details (credit card info, email address, password, etc) based on radio/check box conditions in the form.

3) Once data enetered & checked, the page submits the data to two separate url’s, 1 via curl command, 1 via xml /SOAP (example code will be provided).

We already have initial css & html template created.

This should be a simple 1 or 2 hour project for someone with html/php experience. Please bid appropriately.

Thanks.

Compétences : CSS, HTML, Javascript, PHP, Design de site internet

Voir plus : form conditional fields css, php style, javascript credit card, javascript data format, php radio, php credit, php command, javascript soap, form css, simple javascript project example, format php code, user registration css, javascript php form template, project php html, javascript phone format, javascript url php, php registration form css, page javascript simple, simple email template html, html email template simple, simple registration css form, php html data, curl code, create simple email template, javascript xml form

Concernant l'employeur :
( 11 commentaires ) 27510, United States

N° du projet : #1062838

11 freelance ont fait une offre moyenne de 53 $ pour ce travail

sureshdevi

I can do this work. Thanks, Suresh

62 $ USD en 1 jour
(1117 Commentaires)
8.0
hasanrajani

Let's Start. Please check PMB for further details.

50 $ USD en 1 jour
(305 Commentaires)
7.6
webphp

Hello Please check PMB. i do it 1 hour. Thanks

30 $ USD en 1 jour
(161 Commentaires)
6.8
khanhhuyna

Will complete this task in a day for for you. Thanks.

40 $ USD en 1 jour
(124 Commentaires)
6.8
Softanz

Dear sir, After reading your project details,we are interested in this project and would like to bid on this project. Please view my PMB for more details. Thank you.

30 $ USD en 1 jour
(62 Commentaires)
6.0
Acmesoftsolution

Please check pmb. Thank you.

50 $ USD en 1 jour
(71 Commentaires)
5.9
afanamichael

Lets get started. Check inbox!

50 $ USD en 1 jour
(29 Commentaires)
4.8
asharfraz

check pmb.....

60 $ USD en 5 jours
(8 Commentaires)
2.7
tristarselves

Elves would like to thank you for sharing your insights about web application development services that is in the pipeline. I am very happy to know that your initiatives are more aligned with our key service offerings Plus

150 $ USD en 15 jours
(1 Commentaire)
2.4
samyboy280

Kindly check your Inbox.

30 $ USD en 1 jour
(2 Commentaires)
0.5
vinodcb

I am interested in this position I have previous experience

30 $ USD en 1 jour
(0 Commentaires)
0.0