Fermé

Contact Form

I need a simple small module of code i can insert into my website which will gather details from a client who is requesting a callback and send the data which has been input by the user to another server for processing. Please note, i can insert the code into the website myself so i just need the actual code to insert.

The fields i need to collect are

Title

First name

Last name

Telephone number

Email address

This is a snippet i got from the provider which explains what i need to place in my website.

You can also send form data straight to the software through the url to prevent multiple data entry for the client. The fields it accepts are 'title', 'forename', 'surname' and 'contact'. There are also fields 'd1', 'd2', 'd3' which can be used as generic fields to send extra data to the operator. Also include the variable cc=client code and ch=id code

For example:

[url removed, login to view]

I am also looking for someone who can possibly provide a regular service helping out with simple bits and bobs as i manage a growing number of websites.

Compétences : HTML, PHP, Architecture Logicielle

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Concernant l'employeur :
( 16 commentaires ) Sale, United Kingdom

N° du projet : #1066862

19 freelance font une offre moyenne de $34 pour ce travail

dagdya99

Lets start

30 $ USD en 1 jour
(219 Commentaires)
7.1
rajawi9999

please check PM

30 $ USD en 0 jours
(146 Commentaires)
6.5
phpevolution

Hi, will make bid more clear in private bid

30 $ USD en 1 jour
(8 Commentaires)
5.5
norlink

Dear Sir/Madam, Please review Private Message Board for details. Thanks & Regards, Norlink

31 $ USD en 1 jour
(9 Commentaires)
4.2
actiwe

Hello, please check a PM

30 $ USD en 0 jours
(9 Commentaires)
3.9
tehnicsmart

Hello, view pm

30 $ USD en 0 jours
(12 Commentaires)
3.7
StefanNET

Can do this right now and can code everything you want extra.

30 $ USD en 1 jour
(1 Commentaire)
3.6
MCumic10

Hello, please check PM!

30 $ USD en 0 jours
(1 Commentaire)
1.7
AtishayGoyal

Pls chk PMB.

30 $ USD en 1 jour
(2 Commentaires)
1.6
SkipperRi

Respect, Experienced developer is ready to realize your project. For more details, please PM.

30 $ USD en 1 jour
(1 Commentaire)
1.0
towhidjp

if u give me i try to best .

35 $ USD en 1 jour
(0 Commentaires)
0.0
espyjer

I am ready start working on this project. I have understood the instructions given. hope you will give me a chance..

30 $ USD en 3 jours
(0 Commentaires)
0.0
RLancer

i can do it definitely for you with accuracy and excellency...

35 $ USD en 1 jour
(0 Commentaires)
0.0
SaphiraWeb

I can do it fast,if u know to put code on your website.

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

you will get the complete solution. tell me the full detail of the project.

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

we are ready to start. please choose us we wont let you down.

100 $ USD en 1 jour
(0 Commentaires)
0.0
SyedAsimshah

hi see PM..

30 $ USD en 1 jour
(1 Commentaire)
0.0
smbakhtiar

I am [url removed, login to view] check PM.

30 $ USD en 0 jours
(0 Commentaires)
0.0
makebee

Sir, Please see PM for details

30 $ USD en 30 jours
(0 Commentaires)
0.0