Build HTML Form

Looking for a developer who can write HTML, CSS and JavaScript.

Need an HTML form designed with the following requirements.

1 - Header

3 - Sub Headers (1 Hidden)

5 - Text input fields (2 fields are required and need verification before submission. 3 read only)

1 - Text area field

1 - Check box (If the box is checked, a text area should appear below to prompt for comments. User cannot submit form if checkbox is checked but the text area is blank)

3 - Check box's that correlate to 3 of the text input fields (If checkbox is checked, user must enter text in the input field. User cannot submit form if checkbox is checked but the input field is blank)

6 - Check box's

1 - Save button (Should cause the validation to trigger)

1 - Cancel button (Should cancel form submission)

6 - Hidden read only text input fields

Other Requirements:

- Code should have comments

- The form should be modern and have nice CSS styling (Has to be Internet Explorer compatible)

- The form should be responsive, if the user shrinks the screen the form should shrink (Within reason)

I will provide even more details via email or direct message. This includes acceptable colors and the labels for input fields, etc.

Compétences : CSS, HTML, HTML5, Javascript, PHP

Voir plus : nice html form, build html form joomla, html form styling, html form nice design layout, php html form query build, build html rsvp form, build reservation form html, build html reservation form, build online form database, oracle php insert html form, html form mysql, build html page, direction html form script google, paypal html form flash actionscript, build registration form web design

Concernant l'employeur :
( 3 commentaires ) South Euclid, United States

N° du projet : #16285118

Décerné à :


hi i can create responsive html form for you.i will do it within 2 [url removed, login to view] me message for start work. thank you.

35 $ USD en 0 jours
(19 Commentaires)

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


Hello Salienttemplates is a full service provider for corporate or individual interested in designing their design & development needs of web based projects. We are experts in HTML,CSS,Boostrap,Jquery,Javascript,c Plus

35 $ USD en 1 jour
(269 Commentaires)

Dear Client Thank you for your job posting. I have much interesting in iour job. I have 8+ years experience in Front-End Development Particularly I am strong at HTML5/CSS3/BootStrap/Media Query(Mobile Responsive). Plus

35 $ USD en 10 jours
(87 Commentaires)

I will create the form and will include the instruction given on that. I can start your work right now. Regards Jasmine

45 $ USD en 1 jour
(135 Commentaires)

I have read the requested requirements. I am highly interested to make the requested HTML page. I am a professional front end developer. I have more than 5 years experience. I will make sure the best quality service.

50 $ USD en 2 jours
(66 Commentaires)

I would be able to create the mobile responsive form you've specified. I'm proficient in html5, css3, js/jquery, php, mysql and I have extensive experience in website development and design.

49 $ USD en 3 jours
(61 Commentaires)

Hello I have reviewed your job scope and I am confident to provide you a suitable solution. Please message to have a discussion on the project. Regards

20 $ USD en 1 jour
(47 Commentaires)

A proposal has not yet been provided

35 $ USD en 10 jours
(15 Commentaires)

Hi mate, I’d be glad to assist for web development . I have read description carefully understand requirement and planned to proceed with your requirement. I have 6+ years experience with web development. Proven exp Plus

50 $ USD en 1 jour
(39 Commentaires)

Dear Sir/Madam, I have 7+ years Experience in Web-Design and Web-Development.I building different types of Web Site (Ecommerce,Classified,Realstate,Weding,Porn,Personal,Dating,Event Management...etc ). I reading Plus

50 $ USD en 10 jours
(79 Commentaires)

Hello As a professional web developer, I have 8 years of experience with web development. I read your job description and I can complete your task perfectly. I am able to work right now. Regards Tong

35 $ USD en 10 jours
(30 Commentaires)

sir,i have 5+ years experience in web-design and web-development,wordpress. I know responsive design , bootstrap framework , Html 5 , php.

50 $ USD en 1 jour
(77 Commentaires)

Hello Sir/Madam, I can start the work right now. I'll also write validations for those fields using JQuery. I have 2+ years of experience in web development, SEO, Site optimization and maintenance services. T Plus

25 $ USD en 1 jour
(8 Commentaires)

Dear Hiring Manager, I am good at HTML. I've created many forms similar to this one so far. Please check my client's feedback. Now I am free and ready to start right away. Kind Regards, Md. Anisur Rahman

50 $ USD en 1 jour
(19 Commentaires)

Hello, I am expertise in Angular Js,Node Js,PHP, Mysql, WordPress, Joomla, Magento,cake php, yii,yii2, codeigniter,Laravel,OpencartWeb design, Graphics design,Psd to Html,Responsive Website. some of my project link Plus

45 $ USD en 1 jour
(16 Commentaires)

Hello Sir, hope you are fine, i am ready to Build HTML Form. kindly share more details and names of fields ?

50 $ USD en 3 jours
(28 Commentaires)

Hello I am very glad to let you know that I am interested to do your project. I am offering you the best services for the lowest budget. I am also giving 100% Satisfaction Guarantee. I also give one month free sup Plus

40 $ USD en 3 jours
(12 Commentaires)

sir, I am a passionate Web developer. My skills and experience range from html5,css3,bootstrap,javascript,jquery,sass,wordpress. I work with individual clients as well as with organization. Thanks Here is my work s Plus

35 $ USD en 10 jours
(22 Commentaires)

Hi, Hope you doing well.I read your project description and very confident to handle this project perfectly Let's have a discussion, negotiate costing, timeline and then we proceed Thanks!

19 $ USD en 10 jours
(19 Commentaires)
35 $ USD en 10 jours
(5 Commentaires)
35 $ USD en 10 jours
(11 Commentaires)