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]>