Data collection form and database
$30-250 USD
Paid on delivery
We need to have a web page that allows us to collect information from people that are driven to that web page.
We will need all the standard contact information plus about 10 check fields( or radio buttons), 10 additional regular fields and 2-4 text(memo) box fields.
The form (Landing web page) should be built to look like the following page [url removed, login to view] with the data entry going in the white box (all the text and pictures can go away) and should have captcha support to elimnate spam and the system should have an auto reply once the user completes the form and is accepted for processing, thanking them for participating in this endevor. I want to build the basic functionality and we will tweak the field and form text later.
We then want to put this into an online directory (Same look and feel as the web page above) that has basic search capabilites as well as the ability to export all the data to and excell spreadsheet. (the export functions are not shown on the webpage) We should also have import capabilities too. This will be hosted on Godaddy Windows hosting and you will handle the install and testing of this project. We would like them to have to login in to see the directory, so when they complete their data entry, they would get coule login later with that same email address and password. They could also have the ability to change their data at after they login in and before the go to the directory display page.
Standard contact info Includes:
Name
Title
Company
Address 2 (secondary address info)
Address 1 (Primary address line)
City
State
ZIP
Country
Phone1
Phone2
Email Primary
Email Secondary
Additional Text Fields labelled (Text1-Text10) for now
Additional Radio Buttons labelled (Selection1 - Selections10) for now
One Logo Field (Should be able to hold up to 1MB graphic file in .jpg, gif, tif, png formats
Additional Memo Fields should have 2048 Character min and support MICE Editor for data entry. Base ASCII text should be stored in a hidden field and HTML or RTF should be stored in database primary memo field for display and editing.
Project ID: #4241516
About the project
Awarded to:
I am a Graphics/Web Designer/Developer with 8+ years of Professional experience. I specialize in CMS designs (WordPress, Joomla, Drupal, ) Ecommerce (Magento , Zencart, Opencart) and responsive themes. I Specialize More
11 freelancers are bidding on average $152 for this job
Your current website is hosted on same windows server? I think we will be doing it in asp.net, so that should be supported there already.
Sir, I can do the project. Refer PMB. Looking for further discussions in this matter. with thanks and regards
We are professional in Web Designing/Development technologies, finish your work soon, Please look at your private message.
Hi,we have thoroughly gone through your requirement. our crew is much interested to complete your job with perfection. Major objective of our team is to achieve the goal on time within budget. Thank You
Hello sir, We are experienced and can do this project effectively and fulfill requirements. We can do some free SEO function also for you. Pls send me the details for further. Thanks
We have 20 members team of expert designer and developer.I am in this field for more than 2 years.
This is a simple project that can be delivered quickly by any developer. Please select our bid