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Create a contact style php form

$30-250 USD

Cancelled
Posted about 10 years ago

$30-250 USD

Paid on delivery
I need a contact style form created. There is nothing especially special about the form, However the form is fairly long as it is an application to apply for financing. I need all of the usual checks on the form (email address is correct, correct format for entering name, for numerical fields make sure text is numerical, etc.) It will need checkboxes, etc. just as in the pdf. The disclaimer type text I will do -- I just need the form part created. When the user has filled out the form, on submit, it will send the data to an email address. I need the form in an html file and the backend page is a .php. I will fill out server and all such personal information on the php page, just fill in with some dummy text for now. The format of the form can be all in-line. For example, the form could look like this: Application Date: [field here to fill in] Seller Name: [ ] Applicant Section.... (Then Below that section) Co-Application Section I will test form before payment is made. Please use descriptive variables. You can use dreamweaver or any other IDE, so long as the form works. If you have any questions, please let me know.
Project ID: 5369200

About the project

33 proposals
Remote project
Active 10 yrs ago

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33 freelancers are bidding on average $153 USD for this job
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Hello, With 99% completion rate, 650+ successfully completed projects, and a 5.00 reputation (maximum possible, 5.0) (Yes, not even 4.99 average rating, can be verified on my profile page !!)... you can never go wrong choosing me :) I look forward to your reply. Thanks. Kind Regards, Rajesh Soni
$463 USD in 2 days
5.0 (943 reviews)
8.6
8.6
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Hello there, Easy task for an expert. You will get it done. But if you want the fields on HTML file then you need to use AJAX after submission. I'll do this if you want. Please let me know. Thanks
$147 USD in 3 days
4.9 (101 reviews)
7.5
7.5
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hello sir, i can do your project....please accept my bid that would i start it...i m expert in this type of project...u can also see my portfolio...please sir accept my bid..please hope u will do i m waiting for your response.. thank you.. :)
$130 USD in 1 day
4.9 (542 reviews)
7.2
7.2
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Dear Sir or Madam: I have reviewed your requirement thoroughly and understand your requirement very well and found that I and my team have an excellent expertises to meet your requirement within time frame. We have more than 350+ positive reviews which you can check on our Freelancer profile "http://www.freelancer.com/u/rattanisoft.html" and developed 100's of websites. Please contact us if you have any query. With kind regards, Aziz Rattani
$288 USD in 15 days
4.6 (314 reviews)
7.5
7.5
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I will not waste your time. Please contact with me to start working and I will done project very fast. Best Regards!
$210 USD in 3 days
4.9 (177 reviews)
7.2
7.2
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Can deliver the FORM in HTML script with JavaScript input validation within 24 hours once you send me the input field detail. You will just need to drop in the HTML script into your PHP script (or I can do it too) for it to submit the information. I will also deliver you the submission PHP script that will send out the information via email to your desired email address.
$124 USD in 3 days
4.9 (82 reviews)
6.0
6.0
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hi there! i can do this, i have done many form designs check out my profile, ask any questions if you have in mind..!! Thanks
$140 USD in 1 day
5.0 (18 reviews)
5.0
5.0
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Dear i am expert in php,html,css,mysql i will create contact form for you please reply i am waiting Thanks Regard Azeem
$35 USD in 0 day
4.9 (22 reviews)
4.3
4.3
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Hi there, I am professional coder. Looking forward to start right now. I have ready your project description carefully. If interested pls reply asap.....thanks regards: Mandeep Singh
$50 USD in 2 days
5.0 (31 reviews)
4.4
4.4
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A proposal has not yet been provided
$51 USD in 2 days
5.0 (11 reviews)
3.8
3.8
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Hi, Do you want this page as the PDF file format? I'm here to work this project. Thanks, Mohan
$77 USD in 3 days
5.0 (4 reviews)
3.7
3.7
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i am php developer i hve worked on many sites my expertise are html5, css3 bootstrap php codeigniter wordpress mysqli etc
$55 USD in 3 days
0.0 (0 reviews)
0.0
0.0
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A proposal has not yet been provided
$155 USD in 3 days
0.0 (0 reviews)
0.0
0.0
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I have read all your requirement and i am ready to do it. I have more than 3 years of experience in web development at industry level. So i can do it well. You can pay after i deliver you. I can provide you sample project with in 1 hours.. Lets start it now. Thanks
$155 USD in 3 days
0.0 (0 reviews)
0.0
0.0
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A proposal has not yet been provided
$155 USD in 2 days
0.0 (0 reviews)
0.0
0.0
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HI, I can make the form with the specified requirements. Will code data validation and error highlighting using jquery. PHP will handle validation and return results to the from via json if there are validation errors. If no errors there will be hook where you can now do anything you require with the data. Since the form is long, I can break it down into sections which must undergo validation before proceeding to the next. For things like dates, we can use UI calendar widgets provided by the Jquery UI library. Code will be document and I will purely use functions. I am available anytime to undertake your project
$166 USD in 4 days
0.0 (0 reviews)
0.0
0.0
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we have a highly qualified people who have great expertise to solve your problem. We will not let you down.
$100 USD in 1 day
0.0 (0 reviews)
0.0
0.0
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Hi there About me : I have 4 years experiences in PHP , HTML and CSS About work : I can do it with a custom script and then you will able to edit whatevere u want + I will deliver a language file so you can use it anywhere with any language :) Regards
$217 USD in 3 days
0.0 (0 reviews)
0.0
0.0
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Hello, I am a new freelancer who seek new challenges. This project, as well as the other, is a challenge. You can make a strong application in Zend Framework, which will last for a long period of time. Regards, Alexandru-Mihai Lungu
$155 USD in 7 days
0.0 (0 reviews)
0.0
0.0
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A proposal has not yet been provided
$155 USD in 20 days
0.0 (0 reviews)
0.0
0.0

About the client

Flag of UNITED STATES
Jackson, United States
5.0
1
Payment method verified
Member since Oct 24, 2009

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graphic design
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