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create pop up Request A Quote form, integrate with database

$30-250 USD

Cancelled
Posted over 9 years ago

$30-250 USD

Paid on delivery
I require a REQUEST A QUOTE form that pops up when a Request a Quote form button is clicked. The form needs to contain the same fields as shown in the attached screen capture plus one additional question requiring a radio button to answer. Size of the form will be similar to that shown in the attached screen capture. When the completed form is submitted by a user, it needs to be emailed to a designated email address and simultaneously be added to the database, where it can be accessed and viewed easily.
Project ID: 6463204

About the project

22 proposals
Remote project
Active 10 yrs ago

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22 freelancers are bidding on average $105 USD for this job
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----------------------------------------------------------Please Consider on My BID--------------------------------------------------- Dear Sir/Madam, We are already read your project description & fully understand this project for you. Also I have solid experienced professional in-house team of designers, developers and coders. We are offering best price in this market & providing best quality of work for you. Please check your PMB for more details & More Discuss on chat. ~~~~~~~~~~~~~~~~~Few reasons to select us as a service provide~~~~1. Post delivery free bug fixing support.------- 2. Industry standard modern design.------- 3. Secure coding SQL injection and XSS (cross site scripting),------- 4. Well documented code.------- 5. Regular work update. ~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ Thanks with Regards- Sprex Technologies Team
$200 USD in 5 days
5.0 (291 reviews)
7.5
7.5
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A proposal has not yet been provided
$111 USD in 1 day
4.9 (195 reviews)
7.2
7.2
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A proposal has not yet been provided
$55 USD in 1 day
4.9 (111 reviews)
6.7
6.7
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Hi, I'm ready to do this starting right now and finish ASAP. just provide me full access details of your website to start. thanks.
$140 USD in 2 days
5.0 (105 reviews)
6.5
6.5
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I read your project description and that make sense , at there you described issue very well. I know all stuff good that you want for this job, PHP, javascript, mysql, html, etc very well. I can manage this job very well for you. Thanks
$155 USD in 5 days
5.0 (229 reviews)
6.5
6.5
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Hello, I have done this kind of work, recently I have completed a projected related to popup. I am ready to start. I have 3+ years of experience in php and mysql.
$50 USD in 2 days
4.9 (126 reviews)
6.6
6.6
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Hi Requirement is clear. Can deliver this system modification according to the requirements. I am a master of php application development over 11 years now. PM me for getting touch.
$84 USD in 3 days
4.9 (54 reviews)
5.8
5.8
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A proposal has not yet been provided
$50 USD in 3 days
5.0 (37 reviews)
5.6
5.6
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Hello Sir, I'm 5 years experience in PHP and I'm interested in this job. I'm available to start this task right now. Let me know Your available time to discuss on this project. Looking forward to hear from You. Thanks,
$50 USD in 1 day
4.9 (45 reviews)
5.3
5.3
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Greetings: I studied your project and I have a clear idea of what you need. Be sure I can carry out this project with all the features ,with the required quality and in each deadline assigned. I´m looking forward start working with you. Best regards.
$200 USD in 2 days
5.0 (11 reviews)
5.2
5.2
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American with perfectly legible written english. I am available for you to contact 24/7 via email, text, phone, skype, and freelancer. I'm a php , html, css developer, and have created plenty of websites in my day. I am happy to show you a few should you spark up a schat with me ! Hope to hear from you soon, thanks!
$88 USD in 3 days
4.8 (15 reviews)
5.1
5.1
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Hello sir, i am experienced web designer, i am really interested to do your work. i can done your work. Please discuss further details in message. Regards yillibrown
$150 USD in 3 days
4.9 (25 reviews)
4.8
4.8
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A proposal has not yet been provided
$150 USD in 2 days
4.9 (26 reviews)
4.7
4.7
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hello , this looks like an easy task , could be done in just a few hrs if not less . Please let me know if you would like to collaborate with me . Thank you !
$45 USD in 0 day
5.0 (23 reviews)
4.2
4.2
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Hi, I can complete this task in good manner, within a day just award me this work if you are interested to hire me. Thanks
$100 USD in 1 day
5.0 (28 reviews)
3.8
3.8
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Sir, i can work with java android PHP MYSQL HTML5 wordpress jquery bootstrap. I can do your work and can communicate with ease. So if you give me an opportunity to work with you i will be thankful to you.
$49 USD in 3 days
4.6 (16 reviews)
3.8
3.8
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Hello Sir, we can start with the project work immediately. I am looking forward to work with you and build a good working relationship. Thanks Sanjay
$88 USD in 2 days
4.7 (11 reviews)
3.8
3.8
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Why choose me? - I can do it very easily in a short time. - +10 years working on web programmation (html/css/php/mysql/..).
$40 USD in 1 day
5.0 (5 reviews)
2.2
2.2

About the client

Flag of CANADA
Longueuil, Canada
5.0
20
Payment method verified
Member since Nov 4, 2005

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