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Simple Application Form

Need some help with an online application for a new mortgage company. I know more about graphic design and minimal about PHP. I already have the website setup and ready to go - [url removed, login to view]

The Online Application page is currently setup using a third-party, and want to set it up in-house so I don't have monthly fees. This request is pretty simple: There are about 45 fields which I can provide a detailed list of. The end-user entered data in the fields needs to be sent to an email address when end-user clicks Submit. A confirmation email sent to the user's email address also would be nice, but not required. Print/Reset functionality nice, but also not required.

Pretty simple, right? In your bid, please identify which of the above named requests your price covers. I don't know what info you'll need to set-up the form (SMTP info and etc), so you'll have to specify that also.

Looking forward to working with you, and thanks for your time.

Confirmation email details. Please include the below message in the email to the user:
Subject: Thank you for your application to 1st Step Mortgage
Message: 1st Step Mortgage has received your online application. We appreciate your time, and will be contacting you shortly to discuss your opportunities.

Regards,
1st Step Mortgage

Compétences : PHP

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Concernant l'employeur :
( 6 commentaires ) Hattiesburg, United States

N° du projet : #52193

Décerné à :

leoe

I have did it. Please see PMB.

30 $ USD en 0 jours
(106 Commentaires)
7.0

31 freelance ont fait une offre moyenne de 55 $ pour ce travail

phpMaestro

Hi, We have over 5 years of experience of web designing, search engine optimisation and web programming on php and other web technologies and programmed many applications. We are confident to complete this project with Plus

85 $ USD en 3 jours
(219 Commentaires)
9.1
mspl

Hello I can Provide this Service tou you. let me know your budget. so we can discuss and negoiceate further! Please Contact me on PMB. So we can discuss further! please visit [url removed, login to view] for more info abou Plus

100 $ USD en 2 jours
(156 Commentaires)
7.2
cstl

Chandusoft is a customer-specific service oriented company has got an Professional and creative team with 6 years experience in Web design and development. We have expertise and experience in ecommerce site development Plus

89 $ USD en 6 jours
(18 Commentaires)
6.9
pentium10

I can help you!

100 $ USD en 2 jours
(213 Commentaires)
6.8
PinkCrow

I can help you now!

30 $ USD en 0 jours
(137 Commentaires)
6.6
sunsoft2

Can be done. Please cehck PMB

30 $ USD en 1 jour
(134 Commentaires)
6.4
gafwork

ready to work. i can show u a demo of my work, of what u looking for.thanks.

30 $ USD en 0 jours
(28 Commentaires)
6.4
bsoist

Please see PMB for details.

100 $ USD en 7 jours
(32 Commentaires)
6.2
sinisa

Hi,check PM...

35 $ USD en 1 jour
(89 Commentaires)
5.8
idsnetworking

Very simple, I can do all of it for you.

30 $ USD en 1 jour
(39 Commentaires)
5.2
sdstudios

I'm +7 year experienced programmer and i would like to get your mortage website coded with the best quality.

100 $ USD en 3 jours
(20 Commentaires)
5.0
san26

done..see more in pmb please thanks san

30 $ USD en 0 jours
(6 Commentaires)
4.9
phpfunk

My solution would show/process form on same page; I think its easier on the user if they can see any error messages and see the form w/ their entries so they can make corrections. My bid includes reset/printing/sendin Plus

45 $ USD en 1 jour
(14 Commentaires)
4.8
NubKnacker

Please see PMB for details. Thanks.

30 $ USD en 1 jour
(13 Commentaires)
4.0
webcat

pls see pmb

30 $ USD en 2 jours
(20 Commentaires)
3.8
look

Hi There, I can provide your desired solution within few hours. I'm a very good experience in PHP. Please view pvt. msg. board for more. Regards, -Suvro

30 $ USD en 1 jour
(10 Commentaires)
3.7
webdoers

We're the team of enthusiastic and technically conscious highly qualified engineers, with core software industry experience. Our team have 25 man-years experience. They are serving the key position in their respective Plus

90 $ USD en 10 jours
(9 Commentaires)
4.5
Soumyashahi

Hello Sir, We would like to do this work for you. Please Give us a chance. Thanks Regards Kusum

75 $ USD en 0 jours
(1 Commentaire)
1.9
bissolutions

Please check PMB for details. Regards, BIS Solutions

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

I am willing to work on your site.I have good experience in Web Development and Web Designing You can see My work on My site. [url removed, login to view]

50 $ USD en 1 jour
(0 Commentaires)
0.0