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Build a form using HTML and PHP

$250-750 USD

Completed
Posted over 11 years ago

$250-750 USD

Paid on delivery
Here is a simple scope of work I have prepared for the project titled "[login to view URL] Transportation Contract" IF YOU CAN NOT WORK ON THIS IMMEDIATELY DO NOT WASTE MY TIME OR YOURS. I NEED IT DONE WITHIN 24 HOURS. The purpose of this project is to replace an integral form the client uses to bind their customers to a contract for transporting various livestock which is mostly horses. This form represents the agreement between the 2 parties for the services Triple-AC-Ranch will be providing. An existing form is already in production and needs to be replaced immediately. Here is that form: [login to view URL] Here are the requirements of this project: Rebuild the form in html and PHP so that it can be integrated in to a Wordpress template page. (we will handle integration) The new form should look as much as possible like the existing form at the link above The form should include the same required fields as the sample above and use any form of user friendly validation possible, preferably CSS that references the exact field that doesn't validate upon submission. The form will need to write to a MYSQL database which is already in production. Creating the supporting table(s) to store this data is part of this scope. The form submission data will need to be sent to multiple email addresses in a friendly format. An autoreply must be sent to the person submitting the form using the email address supplied in the form. The autoreply must include all language in the contract and the form data as this is the customers copy of the this contract. ** Be sure any dollar figures submitted with the form validate as numbers or money as there are future plans for the use of this data and it must be correctly structured If it would expedite development I can supply the html of the existing form. Let me know of any questions or additonal requirements in order to supply an estimate and completion date/time.
Project ID: 3997391

About the project

12 proposals
Remote project
Active 11 yrs ago

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Bid adjusted lets start.
$450 USD in 99 days
4.9 (330 reviews)
8.2
8.2
12 freelancers are bidding on average $412 USD for this job
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Greetings from Infoway... Please see PMB..
$700 USD in 2 days
4.8 (671 reviews)
9.8
9.8
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Hello, I'm available to start right now and work full time with you. I have a proposal in PM, with some tweaks for the actual form.
$500 USD in 1 day
5.0 (109 reviews)
6.6
6.6
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I can do this in less than 24 hours. Please check PMB for details. Thanks
$300 USD in 1 day
5.0 (47 reviews)
6.3
6.3
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Hey there, I have build many similar forms and I can help you with this project. I look forward to working with you. Regards, Mike
$450 USD in 3 days
5.0 (84 reviews)
6.2
6.2
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Hi, I can do that for you as well as integration part. Please check PMB for more details. Thanks, Peter
$350 USD in 3 days
5.0 (42 reviews)
6.1
6.1
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Ready to start!
$399 USD in 1 day
4.9 (31 reviews)
5.7
5.7
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I can do this for you as quickly as you request. Yes the html and javascript files you currently have would help alot.
$500 USD in 0 day
5.0 (40 reviews)
5.4
5.4
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I have a lot of experience with php and mysql, I know how to save the information into the DB and send via email to all the adresses. Also, I will set jquery validations and animations, when the client fill each field and when submit the form. Please read the private message.
$250 USD in 1 day
5.0 (50 reviews)
5.5
5.5
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Hello kindly have a look on PMB so that would be really appreciated
$500 USD in 0 day
3.9 (5 reviews)
4.8
4.8
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hello my name is joe, how can i help you?
$300 USD in 2 days
0.0 (0 reviews)
0.0
0.0

About the client

Flag of UNITED STATES
Tonopah, United States
5.0
5
Payment method verified
Member since Nov 29, 2012

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