Terminé

HTML5 Contact Forms - Need 2 forms connected to our hosting platform's database

Hello, I have a few html sites that I need finish up some contact us forms for a small HTML5 website with 2 forms:

1. a LEAD generating form with basic user input fields: name, email, phone, message, policy number, and a selection of "new" or "old" claim. Also, we need to pass the type of claim based on the page the user is on the page the user is on when they complete the form.

2. A generic contact form.

These forms must generate a notification email and must write to the provided database which the client can retrieve easily as needed.

We will either be using one of these two hosts:

[login to view URL]

[login to view URL]

We are hosting a few sites and can use you for more work and future support for changes if the job is done well.

Happy bidding! Thank you in advance.

Compétences : HTML5, PHP, Hébergement Web, Design de site internet

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Concernant l'employeur :
( 71 commentaires ) Miami, United States

Nº du projet : #14785706

Décerné à:

ajoy3freelancer

I am having more than 13 years experience of working as a web developer and having a great exposure of website Development Relevant Skills and Experience PHP,MySQL and jQuery Proposed Milestones $20 USD - Complete J Plus

%selectedBids___i_sum_sub_4% %project_currencyDetails_sign_sub_5% USD en 1 jour
(44 Commentaires)
5.4

22 freelance font une offre moyenne de $27 pour ce travail

Sajjadhussain786

I am professional designer and developers i have a 5 year experience in that field. my recent work [login to view URL] [login to view URL] [login to view URL] Plus

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(307 Commentaires)
7.4
ernestbposl

Hi We are interested. We went through your post and got it clear. So for first you want if user select old it will take old claim page right? Can you explain what is content of that page? Relevant Skills and Experienc Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 2 jours
(157 Commentaires)
7.1
lakhankaushal

Hello, My name is Lakhan, I have a vast working experience in Core php website development and have developed number of Core websites in my career. Thanks Relevant Skills and Experience Php Html Css Proposed Mileston Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 0 jours
(158 Commentaires)
6.8
asifchaudhry2015

Hi there, I am php developer.I am interested to build .Just start chat with me I will show my previous work [login to view URL]'s start chat with me thanks Relevant Skills and Experience Many year experience in web developmen Plus

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(105 Commentaires)
6.7
maamekal

Hi As i have gone through your job description and undetstood that we are perfect fit for this job so please give as an chance to work for you we will definitely do it. Relevant Skills and Experience We have tremendo Plus

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(128 Commentaires)
7.1
SuperbTechnology

I can connect your forms to your hosting database. Pay me after completing the job and pay only if you are satisfied with job else no need to pay. please chat with me to discuss further [login to view URL] Relevant Skills Plus

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(221 Commentaires)
5.9
aradadiya163

hello sir i am expert in php i have 5 year experience in this field you will satisfy with my work i can do this work aasap Relevant Skills and Experience php Proposed Milestones $25 USD - milestone

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(136 Commentaires)
6.3
admk80

I assure you would face no problem in terms of timeline, response and deliverance of high quality work. Relevant Skills and Experience PHP/MYSQL,CSS Web 2.0, Java Script, Joomla, OS Commerce, Wordpress, Prestashop, Ze Plus

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(79 Commentaires)
5.8
sachinraghav

Hi there, I can do it. I can start right now and will provide it to you ASAP. Message me for more details. Relevant Skills and Experience PHP, MYSQL, Form Submission, Bootstrap, HTML5, Proposed Milestones $15 USD - F Plus

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(13 Commentaires)
5.3
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(62 Commentaires)
5.3
khizarali47

Hi, Immediate Available, Price/time after detailed discussion [login to view URL] [login to view URL] [login to view URL] [login to view URL] Let's talk in detail Relevant Skills and Experience php codeigni Plus

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(29 Commentaires)
5.1
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(5 Commentaires)
4.0
crossedge1

A proposal has not yet been provided

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(10 Commentaires)
3.6
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(8 Commentaires)
3.6
jntpixels

We understand your requirements. Please provide us your exact requirements or give a message on chat, So that we can show you a sample in next 24hrs. If you satisfy on that then will move forward. Relevant Skills and Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 3 jours
(4 Commentaires)
3.5
rakeshkumar693

you need HTML5 Contact Forms - Need 2 forms connected to our hosting platform's database Relevant Skills and Experience Portfolio:- [login to view URL] [login to view URL] [login to view URL] Plus

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(4 Commentaires)
2.8
willhammar

Hi, I have read and understood your project's details. I can start working now. Relevant Skills and Experience php, php email, html, web design Proposed Milestones $10 USD - -

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(6 Commentaires)
2.7
TejasShyani

My Portfolio URL [login to view URL] Dear Hiring Manager, Why should you hire me? Strong skills: PSD, HTML, HTML5, CSS, CSS3, BOOTSTRAP, Relevant Skills and Experience HTML5 / Contact Form / PHP contact form Plus

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0.0