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asp form programmed

$30-250 USD

Completed
Posted over 15 years ago

$30-250 USD

Paid on delivery
A current site is set up in .ASP and is on their server. They want a claims section/form new page that is a link from a graphic from an existing page. We would then like a questionnaire to be brought up (similar to the accident advice helpline’s [login to view URL]) so that the client will input their name and contact number We would like the following tick box options to be given to the client:- • Head • Neck • Back • Arms • Hands • Legs • Feet • Psychological injuries When the client has clicked submit we would like the appropriate claim form to be displayed (File is called ‘Claim Form’) depending on which one they tick i.e. if they tick ‘foot’ and ‘hand’ then the valuation for foot and hand injuries will be displayed.
Project ID: 297551

About the project

9 proposals
Remote project
Active 16 yrs ago

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Hello Sir, I possess 3 years of experience in ASP web application developement and maintanance. My strengths are in vbscript, javascript, ajax, database design, pl/sql, web hosting and system performance. My portfolio of sites is available for you review at: URL: [login to view URL], URL: [login to view URL] If I can provide you with any further information on my background and qualifications, please let me know. I look forward to hearing from [login to view URL] you for your consideration. Thank you, Kalpit Patel
$75 USD in 5 days
5.0 (9 reviews)
4.0
4.0
9 freelancers are bidding on average $101 USD for this job
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Price includes: - required page(s) - table structure - support for 1 week
$125 USD in 3 days
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Please check my pm
$200 USD in 2 days
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With little more information, job can be done in 1-2 days time
$80 USD in 2 days
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XtremeLancers can provide you complete solution with 100% high quality work in time & 100% customer satisfaction.
$30 USD in 2 days
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Just Choose Me !
$99 USD in 5 days
0.0 (0 reviews)
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I have worked on some ASP sites. Please let me know the details to start working. Best regards.
$150 USD in 3 days
0.0 (0 reviews)
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Hiya mate, I have done atleast 100 similar forms and have 6 years of experience in website development. Please let me know if you are interested. Thanks
$120 USD in 1 day
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Please Check PM Box for Detail.
$30 USD in 5 days
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About the client

Flag of UNITED KINGDOM
Cheshire, United Kingdom
5.0
1
Member since Jul 4, 2008

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