Completed

Form Building with submission to email

I am subbing this work out. This is for a laboratory website. I need some help with the forms.

3 forms

1. contact form

2. payment form that links to paypal

3. online order form that patient either uploads an orders format(image or pdf) or

clicks on several tests and makes their own order.

Forms should be encrypted

You will be granted access to the ftp to upload and test.

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

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About the Employer:
( 4 reviews ) Miami, United States

Project ID: #22716801

Awarded to:

latatestTech

With Freelancer Preferred badge bound to give 100% Quality (Let's Chat) Hello, A great team is here for your service!! I read the project description properly, and I agreed to fulfill 100% of all your requirements. More

$165 USD in 10 days
(198 Reviews)
8.1

50 freelancers are bidding on average $159 for this job

sanjay2004

Hello, I understand you want to have forms designed and integrated in your website. We have strong hands at website development and can definitely help you with this regard. >> Kindly share your website URL and also, More

$381 USD in 10 days
(1673 Reviews)
10.0
mituld

Hello I have checked your project details and you need the Form Building with submission to email and I am ready to start work now and i am expert at PHP, Javascript, Website Design, Graphic Design, HTML So send me More

$130 USD in 7 days
(471 Reviews)
8.2
bestworkontime9

Hello, ********** I CAN START WORK ON IT IMMEDIATELY.************** I have EXCELLENT work experience of 5+ years in this field. # Pay after getting complete SATISFACTION # Quality and Rapid work Thanks Regards Af More

$140 USD in 3 days
(380 Reviews)
8.0
ciestosolution

*** I can definitely help you with your all 3 forms and can make it work perfectly in your website **** I checked your job and my skills fit perfect for the job. My skills include : Wordpress, PHP,Laravel, CI, jQuery More

$150 USD in 1 day
(598 Reviews)
8.5
maxsmith8

Hello there, We are team of full stack web developers and Designers with huge experience in implementing high quality commercial projects. I've graduated in Computer Science. I ensure to give a best quality website More

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8.1
mahamadali

I am experienced PHP developer and web designer with the depth knowledge related to MySQL,Codeigniter,Laravel,WordPress,MSSQL,JSON,JAVASCRIPT,AJAX,XML,jQuery,CSS with the integration of web technologies. I have worked More

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startupbug

Hi, An experienced US-based developer happy to join your team. Please review my work and I am sure you will like it. Financial WordPress website: [login to view URL] E- Commerce Website [Woo-commerce More

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harshatilva

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manojkhichar

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Codeitsmarts

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Jeet81

Hi i can implemenet 3 forms 1)contact form 2) Payment form to link to the paypal and thisrd online order form that patient can upload ordre and click on test to make their order. please reply to discuss the details. Th More

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7.1
aradadiya163

Hello sir, - I have a good experience in PHP, photoshop,bootstrap 4, CSS3 and HTML5. - I worked as independent designer and like a team player, remotely and in office. I know how to manage my time effectively. - I do n More

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developersperhr

Hope this is perfect gig for you. I'm professional job board developer and Level Two Seller build more then 300 Job Publishing sites. Features - Jobs With Map Multiple Dashboard Views Apply With / With Out Login Vide More

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Lavlu

Hello Sir, I am working from last 12 years in PHP , Yii, Laravel and CI , Bootstrap. Having great experience in Custom development, Contact form, Payment Gateway integration Thanks..!!

$140 USD in 7 days
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Meenutechnology

Hi , Greetings! We have read and understood your need to create a form and make them encrypted to the email. We are confident about the work. We have previous experience in it and would like to discuss it in deta More

$150 USD in 7 days
(148 Reviews)
6.6
navjootkaur

Dear Client, I have read your project description. I have strong & ecommerce, woocommerce worked websites ,Front End designing & development skills that I have been offering from last 6 years Working with UX/UI met More

$180 USD in 6 days
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6.2
ybisoftechg

I WILL DO THIS WORK AS PER YOUR REQUIREMENT AND EXPECTATIONS. With the experience of over 600+ web development projects including ANDROID , iOS , WEBSITES , WEB APPLICATIONS AND SOFTWARES. To check our capabilities ple More

$140 USD in 7 days
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nishantjain21

Dear Employer, I have read your job description carefully for adding more features to a laboratory website. I have seen your requirements forms to be added and encrypted one : 1. contact form 2. payment form that li More

$150 USD in 3 days
(186 Reviews)
6.6
indiasofttel

I have gone through your basic requirements and I am looking forward to discuss about this project..Though i have a great experience on develop such website/application, i am pretty sure that i will do it within the st More

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5.6
santoshm143

Hello, With an extreme experience of 5+ years in web development, I can offer you good support for Form Building with submission to the email Please can we discuss further about the forms so that I can proceed to More

$140 USD in 7 days
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6.1