Build a Custom Multi-Stage Form that will be inserted into a popup float box

Having knowledge of the [url removed, login to view] Landing Page Builder will be great to have for this project:

I need someone to build a custom built, multi-stage form. Ill give every detail to winner, but it will be around 4 different stages. When a section of the form is complete, the next part of the form is shown. You can choose how to present this. There also needs to be error checkers before they move to next stage of form. Last part will be a 'thank you' page, which will contain conversion tracking info and will only be activated once they reach this last 'thank-you' page.

This form will be put inside a 'light box' popup window inside an [url removed, login to view] landing page, when 1 of my buttons are clicked on the initial landing page.

The contents of all the stages of the email then just need to be emailed to a couple email addresses.

Note: You can build this inside my [url removed, login to view] account or supply me with the coding and I'll apply it to my account. Don't worry about the looks, ill finish that part after the form is completed and working.

Skills: Graphic Design, HTML, PHP, Website Design

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About the Employer:
( 17 reviews ) new york, United States

Project ID: #9617763

16 freelancers are bidding on average $263 for this job


Hi I have gone through the details of your project and we find it well within our capabilities. I offer a wide range of services, including Web design, PHP/MySQL web application development, Open sources like Joo More

$206 USD in 10 days
(404 Reviews)

i have 8+ years of experience. Can we discuss the project. Please initiate a chat with me so that we can discuss the project at a broader level. Why you should hire me- 1. I have a very good communication skills More

$1052 USD in 10 days
(52 Reviews)

Greetings..!! Our Understanding: We have closely reviewed the project requirement and understood that you want to Design and Develop a Responsive Website. We feel pleasured to let you know that we are experts in c More

$200 USD in 5 days
(56 Reviews)

Hello, I have read through your project and I am incredibly interested in taking on your project. I am an experienced developer with a diploma in the field of web development. I have been working in the field of web More

$221 USD in 3 days
(192 Reviews)

Hello there, I can develop this type of form using php and mysql where 1 stage is appear when it's completely validate. Can you send me your Unbounce account so that I check it that is that accept php codding or not ? More

$200 USD in 5 days
(113 Reviews)

HI Dear!! I am an EXPERT Developer and Designer, having more than 7+ years of experience in PHP, SQL ,WordPress, joomla, Drupal, Woocommerce, Big-commerce, Shopify, Bootstrap, HTML5, Css3, XHTML, Ajax, JavaScri More

$200 USD in 3 days
(27 Reviews)

I am Jasbir Singh (Web Professional). I saw your requirement in your job post and i fulfill all those requirement. I can do this job perfectly, so you can discuss more with me and award me the job. i want long term cli More

$200 USD in 3 days
(109 Reviews)

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$70 USD in 2 days
(145 Reviews)

sir i have read your requirement about the multistage form ,ready to start . sir we can do this job because we have 10 years of experience in webdesign and development we are expert in php with mysql ,javascrip More

$166 USD in 7 days
(75 Reviews)

Hi there, I am a developer with more than 8 years of experience with solid technical skills. I have strong skills of using [login to view URL] landing page builder. Here are our featured projects: http://ahpinvest More

$750 USD in 10 days
(10 Reviews)
$189 USD in 3 days
(8 Reviews)

Hello sir/madam , We have good experience of PHP,JOOMLA,HTML,HTML5,CSS, Ajax,jquesry,JavaScript,Mysql, Graphic Design,Website Design, Android, mobile application,Photoshop, Banner Design ,Flayer mail,Logo Design, More

$84 USD in 3 days
(9 Reviews)

I have read over your project description and I'm interested in completing your task. If you check my site or portfolio you will see that I am of a higher quality than most freelancers on here. I get it done quickly, e More

$205 USD in 3 days
(14 Reviews)

I care about the Client first, not the money. I am skilled in: - Desigining the websites - WordPress - C++, HTML, CSS, PHP, Js, JQuery - Photoshop - SEO & Articles - Content Writing I have read and f More

$72 USD in 3 days
(3 Reviews)

I would like to apply this job, My experience of 4 years in development and my implementation power keeps me one step ahead for working with any web based application with a very high speed. I have good experience w More

$222 USD in 3 days
(2 Reviews)

Dear Sir, I am pawan Kumar i am web designer and website developer. i have 5 year of experience of Web development. i am expert in, php, Html, Css, html5, ajax, javascript and some of CMS li More

$155 USD in 3 days
(1 Review)

hello dear, i read your requirement and complete description and i i am understand what you want and i can do that task for you and i have many work like popup box and i can do with more creativity and within short ter More

$166 USD in 3 days
(0 Reviews)