Create a Php Form with Javascript Validation

Completed Posted Apr 11, 2015 Paid on delivery
Completed Paid on delivery

Looking for a reusable form code, working like a contact form with javascript validation and php mailing.

Form Item

1 User Name

2 Date Picker

3 Email Id

4 Date of Birth

4 Password

5 Select box

Select your Activity

Cricket

Football

Boxing

Tennis

6 Radio Button

Gender : Male Female

7 Single Option Check box

Select Your Favourite Fruit: Apple Orange

8 Multi Option Check box

Select Your Favourite Film: Tenminator Xman Fast and Fu

9 Send a Message textarea

10 Captcha Code

Send Button also here

Need tosend the filled details to a email id with a good structure.

also need to send the confirmation mail to the user like "Thanks for sending this mail to us" (Give me an option to customize the notification template)

JavaScript PHP

Project ID: #7466008

About the project

13 proposals Remote project Active Apr 11, 2015

Awarded to:

akilkhatri

Dear Sir, I am really interested to work on this project, I can start the work now , and can provide the best services from my end. Please come on chat to discuss more about the project. Regards, Akil Khatri

$18 USD in 1 day
(8 Reviews)
3.9

13 freelancers are bidding on average $19 for this job

mascotindia123

Hello, expert in Custom programming in php / Mysql / Jquery / Wordpress/ Joomla / OSC / OpenCart. Ready to start the work immediately.

$15 USD in 1 day
(141 Reviews)
6.9
bdphpguru

Dear Sir, Able to start right now. I have more than 2+ years experience in jquery,ajax,html,css,php, paypal integration and web based cms and frameworks like joomla,codegintter etc. I read all your description More

$20 USD in 0 days
(53 Reviews)
4.6
kprasad93

Hi thanks for posting the project. waiting for your /message. can start now. i have won many international graphic designing competition. can do this one. will do the work till you are 100%. i have done 1000+ designs.

$15 USD in 0 days
(8 Reviews)
3.6
fdine

I'm a web development expert I guarantee you a working professional Your suggestion will be supported

$35 USD in 1 day
(2 Reviews)
3.5
jigneshpandav007

Hello sir, I have 4 years experience in html,css,javascript,Php-mysql, Wordpress, Opencart android and many more.. I have 9 team member which are working on different platform. I think money is not important b More

$14 USD in 1 day
(2 Reviews)
0.6
ankki2409

i want 3 days because of my some busy schedule i will do it for you' i 'm btech student have a good day sir

$15 USD in 3 days
(0 Reviews)
0.0
frelancer10

A proposal has not yet been provided

$15 USD in 1 day
(0 Reviews)
0.0
AVRocker1

Hello Client I have check your post "Create a Php Form with Javascript Validation". Me & My team of certified Php developer & web designer are ready to assist in your given task. Looking for positive respons More

$25 USD in 1 day
(0 Reviews)
0.0
ersharmadinesh19

Dear Hiring Manager, I will really appreciate if you can start PERSONAL MESSAGE BOARD to have further discussion. We are expert with both web and mobile development and designing and I assure you that we can comp More

$15 USD in 1 day
(0 Reviews)
0.0
sachin4471

Hello, I am experienced wordpress developer and I am able to fullfill your requirements. I am new on freelance . I have also good Knowledge of java script,jquery ,ajax & php . Looking forward for a positive res More

$10 USD in 1 day
(0 Reviews)
0.0