Find Jobs
Hire Freelancers

create an online form (apllication form)

$10-30 USD

Completed
Posted over 8 years ago

$10-30 USD

Paid on delivery
i require a single html or php page to be used as a form for input of information from clients. the page will have be as follows [login to view URL] division will be 960px wide 2. the form will be divided into have 3 sections 3. it will have string/text input fields, it will have a number input field 4. it will have a date field + date picker 5. it will have check box 6. all fields will be required therefore it will be validated 7. it have 4 pdf and .doc attachments input fields 8. on clickin submit form will send all information to an email in a formatted and presentable way and show a success result on screen
Project ID: 8462536

About the project

16 proposals
Remote project
Active 9 yrs ago

Looking to make some money?

Benefits of bidding on Freelancer

Set your budget and timeframe
Get paid for your work
Outline your proposal
It's free to sign up and bid on jobs
Awarded to:
User Avatar
I have been a professional Web Developer for 2 years, and very familiar with , WORDPRESS, Woo-Commerce , MAGENTO, PHP, MYSQL, CORE PHP, Codeigniter,Cake PHP, Laraval, Yii , HTML 5, CSS, JQuery, and JQUERY. During our 2 years’ experience as programmer and designer.
$20 USD in 1 day
2.0 (1 review)
0.6
0.6
16 freelancers are bidding on average $36 USD for this job
User Avatar
Dear Sir, I am really interested to work on this project . I have very good experience of doing this sort of job, I can start the work now and can assure the best service from my end. I am waiting here to discuss about your project , please come on chat. Regards,
$50 USD in 1 day
5.0 (263 reviews)
7.2
7.2
User Avatar
Hi, good day! Can you please send sketch or a detailed outline on the fields you need? I'm available and hoping to hear from you.
$83 USD in 1 day
4.9 (388 reviews)
7.5
7.5
User Avatar
Dear Sir I have read your requirement and i will make a form and setup email function that any user fill the required form then you will get a mail.
$25 USD in 1 day
4.8 (71 reviews)
6.2
6.2
User Avatar
hi, I read your requirement and feel it is a easy job for me As I already developed and customized PHP/HTML websites for clients. I have more than 4 years of experience in web development area Technologies like PHP/Wordpress/Mysql Just share more information and I will able to do it more quickly at price of $45 USD Invite me to discuss this project
$45 USD in 1 day
4.9 (55 reviews)
5.5
5.5
User Avatar
A proposal has not yet been provided
$25 USD in 1 day
4.9 (25 reviews)
4.2
4.2
User Avatar
Hello, We are a team of professionals. We design and develop websites, logos, banners, business cards and do others designing jobs. We will try to satisfy your needs within the given time period. Please chat for further discussion of the project. Regards, Jay
$25 USD in 3 days
5.0 (3 reviews)
2.9
2.9
User Avatar
Hi, I have read your Job Description and I think I have the skills your are looking for. I have very good skills of HTML, CSS, bootstrap, Jquery and etc. I can make your work with full efficiency and fulfill our requirement with my best effort as I am a professional Web Designer/ Developer. With 3+ year of working experience I have always offer my best quality work. I am new on freelancer but I have positive attitude toward work. money is not matter for me I just need long term business relationship and good review from you. hope to hear from you. thanks, Aditya.
$19 USD in 2 days
5.0 (5 reviews)
3.0
3.0
User Avatar
Experienced in designing websites with forms(eg: contact form for a personal website). Built a PHP form to work with android app( receive data from android app, query SQL server and send response to it).
$25 USD in 1 day
0.0 (0 reviews)
0.0
0.0
User Avatar
A proposal has not yet been provided
$15 USD in 10 days
0.0 (0 reviews)
0.0
0.0
User Avatar
Hi, I have just finished my IT studies and I would like be a freelancer. I don't have a portfolio and no reviews on this site so I will develop this form for the lowest budget if you will give me a review. At school I developed something similar so I know how to do it. I will send you a mockup to let you decide if you like the form and then I will develop the part about validating field and sending mail.
$10 USD in 2 days
0.0 (0 reviews)
0.0
0.0
User Avatar
Hi I'm a web developer proficient in both frond and back end development with PHP as well as frameworks most especially in Laravel 4/5 etc. for almost a year. If you are interested we can discuss the project you want to build.
$25 USD in 1 day
0.0 (0 reviews)
0.0
0.0

About the client

Flag of BOTSWANA
Gaborone, Botswana
5.0
12
Payment method verified
Member since Oct 7, 2014

Client Verification

Thanks! We’ve emailed you a link to claim your free credit.
Something went wrong while sending your email. Please try again.
Registered Users Total Jobs Posted
Freelancer ® is a registered Trademark of Freelancer Technology Pty Limited (ACN 142 189 759)
Copyright © 2024 Freelancer Technology Pty Limited (ACN 142 189 759)
Loading preview
Permission granted for Geolocation.
Your login session has expired and you have been logged out. Please log in again.