In Progress

Contact Us page with Information

I am looking for some help with my contact page. I am looking to keep the information on the contact page that I have here: [url removed, login to view]

However, When you click the Request Quote button, I need you to be brought to a Thank you Page. Right now it does not do that.

I need all the user added information on the left to be emailed to us when a user submits the form.

I also need the following Information on the contact us form:

Referring URL

Users Web Browser

Users Screen Resolution

Landing Page

Search Engine used in finding our site

Pay Per Click or Organic

Keyword they typed into Search Engine

Position of Keyword if Organic

IP Address of User

Date and Time Stamp

Thank you very much.

Skills: Javascript, jQuery / Prototype, MySQL, PHP

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About the Employer:
( 3 reviews ) New Lenox, United States

Project ID: #4131572

Awarded to:

gopalvora

ready to start Thanks

$70 USD in 1 day
(135 Reviews)
6.7

22 freelancers are bidding on average $113 for this job

NetzPro

Dear Sir, We would love to get this opportunity of working with you. We can guarantee complete satisfaction if you select us to execute this project. Regards NetzPro

$250 USD in 3 days
(341 Reviews)
8.4
toinnisfree

pls chk pmb

$185 USD in 3 days
(537 Reviews)
7.9
TopSEOExpertscom

Hi, Please check PMB for bid details.

$250 USD in 3 days
(190 Reviews)
7.7
sonuinfy

Please check PMB.

$250 USD in 7 days
(147 Reviews)
6.9
smileG

Hello, Allow me help you this project. It's very easy with me. Please check your PMB and contact with me. Thanks

$200 USD in 2 days
(102 Reviews)
6.2
exitsol

Ready to get started right away.

$100 USD in 0 days
(105 Reviews)
5.8
scriptphp87

Hello Please read more than private message thank you

$80 USD in 1 day
(38 Reviews)
5.7
fastfivedesigner

***** Great team of Developers , Will modify your contact/quote form page and put your Required fields on it . FASTFIVEDESIGNERS ******

$110 USD in 5 days
(26 Reviews)
5.3
maasoft

Lets do it [url removed, login to view] to start [url removed, login to view] allow me to do this work for you.

$60 USD in 1 day
(44 Reviews)
5.3
danmoliver

Hi, I have done many contact pages included in other work I've done. See private message for more details. Thanks, Dan

$100 USD in 2 days
(11 Reviews)
4.5
diamond1027

Hi, I can do it perfectly. I have rich experiences on this fields. If you want demo project, I will show it. Best regards.

$80 USD in 2 days
(22 Reviews)
4.4
michaelhugs

Hi, Good luck with your search. I have many years experience in making contact us forms, including several forms on [url removed, login to view] Let me know if you have any questions before you make your selecti More

$120 USD in 2 days
(6 Reviews)
4.2
ntlabs

Sir, I'm glad that I found a project that matches my skills and expertise. I can offer this service at a best price and within the minimum possible period. My Focus is a long term business relationship with my More

$100 USD in 3 days
(12 Reviews)
3.9
vw1880582vw

I am an experienced software developer and have 17 years experience working with the technologies you require.

$100 USD in 4 days
(5 Reviews)
3.9
opengeersindia

We are on time and always provide excellent quality. we can do all that you asked for and more, please check your inbox. Thanks!

$50 USD in 1 day
(6 Reviews)
3.5
sainulabidnv

Hi, I read your requirement and i can complete this project by today itself

$50 USD in 1 day
(2 Reviews)
1.8
wilfredonoyola

Good day, After reading the requirements in the tender offer, I'm sure I can help. We propose several improvements that can be made by adding to your offer. Managing Budgets (Dashboard) 1. when you click on t More

$75 USD in 4 days
(0 Reviews)
0.0
shinesjohn

Sir, I am interested in this work. I am a PHP developer since last 2 years. Please have a look at my portfolio at http://shinesjohn.com. I am sure that I can give u 100% satisfaction and I will make the site 100% More

$30 USD in 1 day
(0 Reviews)
0.0
nlakmal

I can do it very well

$70 USD in 1 day
(0 Reviews)
0.0
oviukas

Hello, first a few questions: as I understood, you want that data to be written to mysql database? and other data (like IP address, user resolution) will be hidden in the form, right? I would like to be your partner i More

$160 USD in 2 days
(1 Review)
0.0