Create a web form

Closed Posted Mar 3, 2016 Paid on delivery
Closed Paid on delivery

Need a from for my site (HTML, php, java, Jquery)

5 field with radio box questions

3 field with radio box or drop box ** (one with 15 image product, one with 60 image product, 5 categories with some sub categories)

10 field with standard product with quantities box

5 text or number field ( 1 email, 2 name, 3 your customer name, 4 your message, 5 phone)

** For this field need to have image preview so my customer can easy choose the product, my products is leather style, so need to look very good before you choose it,

some ways to do this is

[url removed, login to view]

[url removed, login to view]

[url removed, login to view]

Or any other way that your proposal.

One tricky point is that if you choose in one drop down some specific values, then you cant choose all the value in the next field

also if you choose product from the firth drop down field then cant use the second drop down or opposed, and then you proceed to the three drop down field.

All this script i need from you to merge it with one ready php script I have about upload,

Need to be safe, useful and nice looking,

I wait from you to send a sample in my chat

[url removed, login to view]

CSS JavaScript jQuery / Prototype PHP Software Architecture

Project ID: #9834563

About the project

13 proposals Remote project Active 7 years ago

13 freelancers are bidding on average €27 for this job

techwelf

Yes Sir let's explore the requirement to clarify in details also if you want us to share our skill and previous work let us know. hope to hear you soon.. Thanks & Regards Moumita

€121 EUR in 7 days
(74 Reviews)
6.2
rabnawazjansher8

Hello Sir I feel that my excellent interpersonal and analytical skills coupled with my leadership qualities and strong work ethic would make me a great fit for job (to make web page for you as you descirbe) and comp More

€19 EUR in 1 day
(5 Reviews)
2.6
DevelopingGuru

A simple task that requires not more than a day for an expert. Won;t write long note because I believe in getting things done rather than discussing them. I get the idea of your project. Hope to have a positive respons More

€19 EUR in 1 day
(1 Review)
0.8
Rhuan288souza

Hi, i'm a student of computer engineering am o need to pay it. I work as a web developer and i ask you chance do show you my skills.

€14 EUR in 1 day
(0 Reviews)
0.0
rizzz315

I am an expert web developer having wast experience in web development. I can read your details i.e build a form and also understand all explanation. I can complete this work in within 1 hour thanks

€16 EUR in 1 day
(0 Reviews)
0.0
Jhonns862

Hello, I have lots of experience with javascript. This is a really simple job it can be done in one day. Also i can make it with bootstrap so it looks pretty. Hope to work with you. Thanks.

€12 EUR in 1 day
(0 Reviews)
0.0
levantalejandro

I'm interested in working on this project, I'm located in Colombia and I have inmidiate time availability

€23 EUR in 10 days
(0 Reviews)
0.0
pagesinprogress

Hello, I'm Pearl. This is a very simple project that I can construct in Dreamweaver. Check out my portfolio for an example. If you were to accept my bid, I would include consultation. I am willing to work with you, ste More

€34 EUR in 14 days
(0 Reviews)
0.0