API Form - No Design Work - API key already set up/tested - PDF With Correct Code Provided - Only 1 Milestone - Place FULL Price Bids Please

The new web form is already designed. My old 'default' web form is already functional so you can see exactly what I need the user experience. Clickfunnels experience would be an asset. A custom HTML tag inside clickfunnels will be used to install the code for this form to work. The popup with the new form is already built, no design needed. API document provided with all needed tags. Pull the required date time data from the webinarJam upcoming webinar, and dynamically insert these data into the pop up webinar registration form. The old form is working and does all this already so this will be a valuable tool to see it working. New form will need to submit the webinar registration form data including time/date of webinar, tiimezone if default is changed by user, full name, email, SMS if they select that box, to the webinarjam site via the API. The API connection code is already activated between my clickfunnels account and my webinarjam account so it's straight PHP programming everything else is built. There is a webinar series set up already. Webinar Jam will allow you to pull the date and time data for the next scheduled webinar to display on the clickfunnels form. See the default form for details as it is fully functional. I will provide the access to both sites, as well as the webinarjam member ID and webinar ID which both will be needed for part of the form. Check box on new form, when selected, will then display SMS fields and sentence. Before selected, SMS fields are not visible on form. See shots.

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The red buttom currently is set with the old default form. If you exit the screen rolling your mouse to the top of edge of the page the custom popup form will appear, this is the one that you must set up. Once the whole thing is done, I will change the red buttom to cause the new form to popup when the red button is clicked.

I have 5 files uploaded here.

[login to view URL] a short document detailing the code that will be needed in detail to pull the data from webinarjam to display on clickfunnels registration form. And to submit the new registrant data to webinar jam from clickfunnels form.

[login to view URL] notes, my form must function like this default form.

1 - dynamic insertion of automatically updated next webinar data

2 - dynamic insertion of automatically updated next webinar time

3 - time zone link, click this link that is provided above to see how I want the time zone data to populate in the form. I would like this duplicated.

4 - required fields

These are optional fields for the user to receive SMS notification which is already set up inside webinarjam.

5 - country code, by default it must be: USA (+1)

6 - phone number

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1 + 2 these are the fields where I need you to grab data VIA API and populate, date of next webinar 1, and time of next webinar 2. Also, when the time zone link is pressed, its user experience must be duplicated from the example default form provided which is fully operational for you to see. Time zone data when clicked, will appear where 1+2 are currently.

3 required fields full name and email. Webinar Jam only asks for first name in the default form. I am asking for full name. If you must submit the full name as new registrant into the API to webinarname using thier first name tag that is fine. Not sure if they have a full name tag. So collect full name in one field and pretent that is the 'first name' for the new registrant.

4, when 4 is clicked, I would then like 5 to appear. So on my custom form I do not want 5 showing, everything circled in red. Until the checkbox is selected. These are optional fields. The default selection for country code field will be: USA (+1)

file - freelancer project set up 16

This file shows the new web form what the empty fields look like Before the check box is clicked

file - freelancer project set up 17

This shows the form After the check box is clicked.

Skills: API, HTML, JavaScript, PHP, Programming

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