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Build a php + jquary form

Hi Friend,

I want a form like attachment image, here this destination place name list i have this around 3950 places, this from & to destination should be auto complete, after click submit button those all details send to my mail, additionally we have to add two filed here, phone no & email. let me know about your idea. UI is look like bootstrap.

Example : [url removed, login to view]

[url removed, login to view]

Thank you.

Skills: Graphic Design, HTML, MySQL, PHP

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About the Employer:
( 8 reviews ) Dehiwala, Sri Lanka

Project ID: #6593238

12 freelancers are bidding on average $14 for this job

navelsoft

Your project very well fits into our scope of expertise. Our solution centric approach and out of the box ideas helps our client open a new world of benefits to their target audience. Our cost effective solutions ar More

$10 USD in 2 days
(23 Reviews)
5.8
opuswebdevlopers

Hello sir, We have good experience of Photoshop,Banner Design ,Flayer mail, .NET,Logo Design, PHP, HTML,HTML5,CSS,JavaScript,Mysql,JOOMLA,wordpress,Graphic Design,Website Design, Android, Sql Server please chec More

$14 USD in 1 day
(22 Reviews)
4.0
mufaadmm

Hello ! i can do this complete task for 10USD please contact me ..... Thank you.............................................

$14 USD in 1 day
(24 Reviews)
3.5
Abbas78692

i'm interested in your job, I've senior team of it, my team can your job, ready to start... Our team of professional developers offer our clients many services from Web Development to Mobile Application Development More

$10 USD in 1 day
(1 Review)
0.5
shubhangiwebninj

Hello, I can help you complete this project asap. I'm a PHP developer and have been working in this field for 4 years now. Please hire me for best results.

$15 USD in 1 day
(0 Reviews)
0.0
iwebtechnik

Dear sir. Thank you for your job posting. I read your requirement carefully and understood what you need. I am very interested in your project so I want to contact you quickly and discuss with you about your projec More

$12 USD in 1 day
(0 Reviews)
0.0
CraXkn

I need to know a little more descriptive info. But I believe this can be done quickly if I understand this project correctly.

$10 USD in 5 days
(0 Reviews)
0.0
HireSafalSoftcom

We are talented PHP & AJAX Developer team. We have experience working as a Angular.js and ASP.NET . We also experienced in Bootstrap. our other skills include Codeigniter, Cryptography and Geolocation. we are ready to More

$15 USD in 2 days
(0 Reviews)
0.0
shrishailgobbi

i know php. i done mail sending in php. sending personal and group mail using php script. u can see my work-(in progress) [login to view URL]

$15 USD in 1 day
(0 Reviews)
0.0
rahulmukundan

A proposal has not yet been provided

$15 USD in 1 day
(0 Reviews)
0.0
waleedikhlaq1

hello i will do this for u in just one day in just 10$ and i will make changes for u if u want me to chage something in your work

$15 USD in 1 day
(0 Reviews)
0.0
gwebactivity

A proposal has not yet been provided

$25 USD in 1 day
(0 Reviews)
0.0
magentoworks

I have a 3 years experience in php development. I work on these types of forms everyday. I can complete it within a day and for minimum cost. :) PM me, if for more info.

$10 USD in 1 day
(0 Reviews)
0.0