Fermé

Web Agreement / Contact Form

I am in need of a web-based agreement form where the visitor can enter their contact info (most of which will be required), check several boxes to sign up for classes (and enter dates), read through agreement, check "I agree" box and submit the form by email. The information is then emailed back to me, preferably in HTML email format/layout. Use of HTML/CSS/PHP is preferred. The code will be used on an already designed HTML website.

Please see attached image to get an idea of how the form should look like.

Pre-pay is 50%. If you're interested in this project, please provide a portfolio of past work relating to the topic - contact and web-based forms.

Compétences : CSS, HTML, Javascript, PHP, Script Install

Voir plus : html css agreement form, agreement css form, web layout html, project agreement format, designed web, agreement form php, idea form, get idea designed, form sign, form css, contact css, preferred javascript, html sign form css, form image, css info box, javascript web project, form contact php css, website contact form, layout form php, contact website javascript, contact information web form, css format form, form pay php, web form format, css sign email

Concernant l'employeur :
( 31 commentaires ) brooklyn, United States

N° du projet : #1071673

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

agilesols

lets do it.

30 $ USD en 0 jours
(224 Commentaires)
7.6
AStonetech

Already done with many submit forms, please have a look at PMB for work details.

35 $ USD en 1 jour
(163 Commentaires)
6.8
acesolution

LETS DO IT......THANKS

35 $ USD en 1 jour
(109 Commentaires)
6.5
ichurakov

Please check inbox. Thnx.

80 $ USD en 1 jour
(256 Commentaires)
6.4
ansi2

Ready to start

50 $ USD en 0 jours
(104 Commentaires)
6.3
TheInnoVibes

please check private message

30 $ USD en 0 jours
(44 Commentaires)
6.0
s3p

Will be done. Thanks Saikat

30 $ USD en 0 jours
(36 Commentaires)
6.0
plusinfotech

Hi sir please check PMB for details

45 $ USD en 1 jour
(32 Commentaires)
5.7
AdamsK

ready for service sir. thanks.

30 $ USD en 1 jour
(82 Commentaires)
5.6
executeart

Hi, I am interested to do the job. Please check PM for details.Thanks

35 $ USD en 1 jour
(21 Commentaires)
4.7
jewelhuq

I can do this sir I have done a simple contact form porject

50 $ USD en 7 jours
(21 Commentaires)
4.6
VikashThecoder

Hello sir PLease see details

30 $ USD en 1 jour
(9 Commentaires)
4.2
itambassadorz

you have pmb. thanks

30 $ USD en 0 jours
(16 Commentaires)
4.1
samarthsol

Please check PMB.

30 $ USD en 1 jour
(16 Commentaires)
3.5
IcepickD

Hi, I can help you with this. Please check PM.

30 $ USD en 1 jour
(4 Commentaires)
3.0
wostec

Hi, please check the PBM.

50 $ USD en 0 jours
(3 Commentaires)
3.0
cameron1992

Hi Please get in contact if you are interested, i class this as very basic coding and would be happy to work with you.

30 $ USD en 0 jours
(1 Commentaire)
2.0
sdonline

Hi, I can do it now. Check your pmb for detail Thanks

45 $ USD en 1 jour
(2 Commentaires)
1.7
twinkle0107

Please check PMB

50 $ USD en 1 jour
(1 Commentaire)
1.0
jimheng

Using pure HTML and PHP. Will teach you how to modify the HTML for your preference.

30 $ USD en 0 jours
(1 Commentaire)
0.0