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Simple Website for User Form Entry

A simple website where prospective providers can input/edit their company details & a database to collect the data that has been input. (Basically to enable us to do data collection based on user input)

Only 4 Pages: Home, Contact US, Management and Provider Data where the user can enter/update fields. We will provide the contents for the 1st 3 pages.

In the Contact Us page we will diplay postal address, phone, fax, email and also an “info@xxx” menu where the user can ask a question.

You may use templates. Should look professional with mild colours.

To Be Delivered:

• Web pages file

• Source codes

• Database that will capture the data entries

• Basic instructions to make changes

• “Control Centre” section whereby we can do the following (a) suppress/display some of the fields (b) change some of the mandatory fields to non mandatory fields & vice versa

• Ability to collect data on those who did exited after stage 1 of the data entry process

Other features of the web:

• Ability for user to sign up as a member. (not accept unless it is a business email - if the email is a hotmail, yahoo, gmail or aol email suffix to reject)

• On signup generating an instant email that will send the username and password

• If he forgets the password “Forgot Password” menu

• Counter that is invisible to the visitor

• Report to gather visitors who dropped out without completing the process

• Graphical display of the percentage completed when data entry happens

• Ability to exit halfway without completing and come back at a later date and complete the rest of the form.

• A pop up or a box after each field which will give some general notes/examples – maximum 600 characters with spacing

• Font Verdana Size 11

• Drop down menus – ability to add the fields in the dropdown menu.

• Because of the size of the “drop down menus” please feel free to suggest and alternate presentation method for data entry. It can also be a pop up window where the user can tick. Alternatively it can also be a window where when one typed the first 2/3 letters the nearest ones will be displayed – e.g. start typing te = telemarketing and telephone sales etc will come up for ticking

• On the Country drop down menu can you present USA, UK, Canada & Australia on top please?

• NO Flash please.

• Group and put a border around common fields so that the forms does not look threateningly big and also will look neat.

• Encrypt the data entries

Compétences : Design de site internet

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Concernant l'employeur :
( 8 commentaires ) Delaware, United States

Nº du projet : #55923

Décerné à:


We can make it real. Thanks.

%selectedBids___i_sum_sub_7% %project_currencyDetails_sign_sub_8% USD en 5 jours
(24 Commentaires)

26 freelance font une offre moyenne de $248 pour ce travail


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

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(295 Commentaires)

Greetings, Indyaportal is a professional web design company offers a wide range of services including professional web site design, web development, ecommerce, internet marketing, web site promotion services and, co Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 9 jours
(257 Commentaires)

Hi, We would like to offer our services for the job. For portfolio and company profile, please visit us at [login to view URL] -Regards, Team Manager

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 10 jours
(71 Commentaires)

Greetings! Please, check PMB for details and get back to us with your project. Looking forward to your reply, Marina, Viaden Inc.

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(9 Commentaires)

i can do it..........

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 12 jours
(10 Commentaires)

Our bid is for really very high quality work for your Simple Website for User Form Entry that will be made to be upgradable in case you need some upgrades in future. We will always be available for upgrades. Our bid in Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 12 jours
(26 Commentaires)

Thanks for taking the time to review our bid At MXicoders. We specialize in providing total e-commerce, e-business and branding solutions to small and medium size business worldwide. We are selective about the jobs Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 15 jours
(23 Commentaires)

WE can do the job easily and have done something like your type of project recently also for our Dubai, UAE based cleint. sir, feel free to ask us

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 10 jours
(29 Commentaires)

See Pm, Regards, Eigon

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 2 jours
(4 Commentaires)

Hi We are a software and website development company from [login to view URL] would be more than happy to serve you to your satisfaction. visit : [login to view URL] for more info Thanks & Regards

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(2 Commentaires)

I have experiance of e-comerce projects and similar projects,so this will be very easy for [login to view URL] Check PMB

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 5 jours
(2 Commentaires)

Simple work..If you need more information please send PM. I will be pleased [login to view URL]

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 10 jours
(1 Évaluation)

Compro Systems (India) Ltd having registered office at Block-BP, Plot-5, Sector-5, Saltlake City, Kolkata-91, West Bengal, India, engaged in software development work (website design and webbased application) for last Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 15 jours
(0 Commentaires)

Dear Sir Hiensys IT Consulting is an emerging global technology services company delivering business solutions to its clients. We deliver the full range of application outsourcing, business process outsourcing, con Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 15 jours
(0 Commentaires)

Hello, We are a software company backed with years of experience and the right expertise to handle all your requirements. With an in-house team of some of the best skilled hands, we assure you of quality work on tim Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 15 jours
(0 Commentaires)

can be done.

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 8 jours
(0 Commentaires)

Dear Sir/Mam Greetings from zonebits.......... I am interested to do this project. I have 5 years experiance in this field. Thanks with regards zonebits

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 30 jours
(0 Commentaires)

1 day is enough to achive your requirement

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(0 Commentaires)

[login to view URL]

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 10 jours
(0 Commentaires)

we are professional designers and provide web development in php and mysql. we can provide a good and decent looking website and provide all the customer features you want. like customer login and password etc. Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 10 jours
(0 Commentaires)