create an online form (apllication form) -- 2

$10-30 USD

Closed

Posted

over 8 years ago

$10-30 USD

Paid on delivery

i require a single html or php page to be used as a form for input of information from clients. the page will have be as follows [login to view URL] division will be 960px wide 2. the form will be divided into have 3 sections 3. it will have string/text input fields, it will have a number input field 4. it will have a date field + date picker 5. it will have check box 6. all fields will be required therefore it will be validated 7. it have 4 pdf and .doc attachments input fields 8. on clickin submit form will send all information to an email in a formatted and presentable way and show a success result on screen

Project ID: 8464813

About the project

19 proposals

Remote project

Active 9 yrs ago

Looking to make some money?

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19 freelancers are bidding on average $28 USD for this job

@ruwanjayawardena

hi, I can complete your project .chat me for discuss about your project requirement in detail thank you, Ruwan jayawardena

$30 USD in 1 day

4.8

(43 reviews)

6.6

@LadoraIT

I will follow your all instruction as you describe. From html input form i will process all data with form validation after the process i will send an email to a specific email that may be provided by you.

$30 USD in 7 days

5.0

(59 reviews)

5.6

@xeathprynx

i am html , php expert and i can complete your task in less amount and with 100% guaranteed. Pm for further details.

$25 USD in 1 day

5.0

(29 reviews)

4.4

@akramkimo

it's so easy,just accept my bid sir

$30 USD in 1 day

5.0

(31 reviews)

4.5

@nadiashams

A proposal has not yet been provided

$30 USD in 2 days

4.9

(30 reviews)

3.9

@aminovishb

Aucune proposition n'a encore été fournie.

$25 USD in 1 day

5.0

(10 reviews)

3.6

@EmpowerYourWeb

I can get your form built quickly. Turn around within 24 hours. You can be sure if you choose me your project will get completely accurately to your specifications.

$30 USD in 1 day

5.0

(3 reviews)

3.1

@indexosolutions

Ainda não foi fornecida uma proposta

$45 USD in 2 days

0.0

(0 reviews)

0.0

@egolt

Hello, We are developers of Egolt ™ and have lot of experience in PHP & Joomla! Extensions.(You can see the quality of our codes by downloading our free extensions from the Egolt website). So this is an easy job for us and we could do it like drinking a water! Just let us know to do your work as best you expected. Kind Regards, Soheil Novinfard, Egolt ™ Head Developer

$25 USD in 1 day

0.0

(0 reviews)

0.0

@Linuslind

Ive been doing alot of "contact forms" etc in my life. The design will be very simple and easy to change.

$25 USD in 3 days

0.0

(0 reviews)

0.0

@MohammedSalahiq

i can deal with that ... and create a form with custom style .. and i have no job to do ..so mor time to work on what u need

$25 USD in 1 day

0.0

(0 reviews)

0.0

@jex2000

A proposal has not yet been provided

$25 USD in 1 day

0.0

(0 reviews)

0.0

@wasimmukta

As a competitor for this bid i would say that i had already done this kind of project earlier for various organization which have been running smoothly till date. We team up for taking various projects. it helps to complete our project in more productive since our team have masters in different skills. i can assure you it will be a great web site.

$30 USD in 1 day