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Create Dynamic Form to submit customer info on webpage

I need someone to take an excel spreadsheet and create a dynamic form to use as a new web page at...

[url removed, login to view]

The form is simple, customers enter their personal information, and when they hit submit it saves to a database. I would like to be able to print the information in a one page format!

Thanks,

Nick

Skills: Graphic Design, HTML, MySQL, PHP, Website Design

See more: webpage format, spreadsheet on web page, service dynamic, data entry, cms, design, seo, php, android, mysql, css, html, website design, magento, link building, wordpress, website testing, joomla, ecommerce, user interface / ia

About the Employer:
( 2 reviews ) mesa, United States

Project ID: #10671340

33 freelancers are bidding on average $158 for this job

toinnisfree

I have read your project details, and I am interested in offering my services. I provide 100% satisfaction guaranteed on all my work. Milestone is required to begin; to be released when the job has been satisfactor More

$185 USD in 3 days
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8.3
mituld

Hi I work towards providing reliable, relevant and robust IT solutions at most competitive prices to my customers. I ensure 100% customer satisfaction so lets start Thanks

$206 USD in 8 days
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8.2
AxonTech

Hello, I have reviewed your requirements and i will like to discuss about the website features in detail. Please get in touch so we can discuss. We have expertise in Dynamic Form for W More

$199 USD in 5 days
(125 Reviews)
7.4
saagark22

Hi, I can take the excel spreadsheet "AWSCO Service Intake [login to view URL]" and convert it to dynamic form. When customer submit form data will be saved to database and admin (password protected page) can view all data on More

$100 USD in 2 days
(386 Reviews)
7.1
shaileshpatil17

RESPECTED BUYER, WE CAN QUICKLY HELP YOU IN DESIGNING DYNAMIC FORM, We are working in PHP, E-commerce Development for more than 9 years check our reviews. We can customize your web application as required by you e More

$117 USD in 3 days
(55 Reviews)
7.1
hardcode4u

Dear Sir, Our kind regards to you. My name is Ishant Gupta and I am well qualified PHP and Wordpress developer having an experience of 6+ years. I can do any type of website work in wordpress. You can take a l More

$105 USD in 3 days
(122 Reviews)
7.3
jayprihar69

Hi mate I have read the complete job description where you are looking to build a dynamic form to use new web [login to view URL] complete [login to view URL] more than 5 years experience in web design and development, I have b More

$244 USD in 3 days
(61 Reviews)
6.7
seemasit

Hi, My name is seema and I am an Indian Web Designer,mobile app and cms expert. I love Android and I have a large portfolio of sites built specifically on this platform. Below you can see a portfol More

$155 USD in 3 days
(70 Reviews)
6.8
smartwinz

HI Greetings!! i am a Web Developer and Designer working on Cakephp,Codeigntor,Wordpress,Joomla and Magento Projects 7+ years.. I will provide you with the quality job and in time. I assure that you will be More

$200 USD in 3 days
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umesh655

Hello, I am writing in response to your job posted. Rates are too low because i want show my talent to potential clients.I did similar project few days back. I enjoy working with creative team and have the abil More

$200 USD in 4 days
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6.2
websolutions008

Hi, This is susan We could build a webpage. Payment could be released after you are completely satisfied with our output. our recent online store wordpress site in woocommerce. [login to view URL] https://w More

$266 USD in 10 days
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zuk22

Hi. Everything is quite clear. When can we get started? I work on my own host, so you can observe the development process. You can write to me for more information. Best regards, Ivan K.

$100 USD in 3 days
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amitarai

Hello My name is Pranav I have checked the details shared by you will do done exactly what you want Please consider my bid and we can discuss more so that i can assist you in better way our services always with More

$155 USD in 7 days
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cnath

Dear Madam/Sir, As per your references site and excel doc we will provide you the site by using PHP. We will code in secure structure object oriented fashion way to make your site more secure and reliable. If More

$250 USD in 10 days
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6.3
Amdkhan90

Hey, I am Ammad here. we are interested in your project. I assure you that your work will be done asap as per your requirements. we will provide quality work with in the deadline and available to provide updates. reas More

$250 USD in 7 days
(101 Reviews)
5.8
oliviainfotech

Hi Greetings, i would like to share a proposal for creating webform that has to saved via [login to view URL] have mentioned that you require a form that can save data to Database and also print that info in a single pag More

$166 USD in 1 day
(48 Reviews)
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hipper

Hello sir, I have one question regarding the form. I copy one question from the form. my question is "On" and "Off" are the option which user will select? Do you travel with Cover ___on ___off Please messag More

$122 USD in 2 days
(15 Reviews)
4.7
jaypatel1810

Dear Hiring Manager, Thank you for this wonderful opportunity. I noticed your advertisement for the position of PHP Developer and think I would make an excellent candidate for it. If you are looking for a PHP Devel More

$155 USD in 3 days
(16 Reviews)
5.0
kienngd

Dear sir please contact me. We will discuss about your requirements. When I understand I will do it for you. Please note that price is variable depend on your requirements and it maybe changed after our discuss.

$100 USD in 2 days
(20 Reviews)
4.6
nisthark

Hi Sir, My name is Nisthar. I am a Developer (Both Web & Software). I have great experience in PHP, Node.js, Javascript, MYSQL databases, etc. I have also done similar project of reading and writing to and from excel f More

$155 USD in 2 days
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