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Create 2 additonal pages for an excisting website for receiving quotes

$30-100 USD

Completed
Posted over 14 years ago

$30-100 USD

Paid on delivery
A customer of me needs a page where visitors from Google Adwords can enter detailed information for requesting quote of a specific object. The customer needs one page wich contain the following details: * * * **Type O** Name 1 **O** Name 2 **O** Name 3 **Contact details **Firstname Name Gender Phonenumber Mobile E-mail **Adress **Adress Postal code City Country **Detail info 1 O** variable distance **O** Unknown **Detail info 2 O** variable degrees **O** Unknown **General info **Desired date of execution days selection - month selection - year selection Contribution field Send request button * * * When the customer clicks the Send request button the customer needs arrive on the 2nd page you have to make wich will thank the customer for his request. (And where i could put the Adwords code) For an example you can view this page: <[login to view URL]> Enter as "Uw postcode" the following: 1234 ab Then you see the page i would like to have for my customer. It would be great if it fits in this entire picture as in layout of the current website, wich is: <[login to view URL]>
Project ID: 3048991

About the project

14 proposals
Remote project
Active 14 yrs ago

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About the client

Flag of NETHERLANDS
Netherlands
5.0
38
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Member since Jun 4, 2009

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