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417367 Five Page Multi-Part Form- PHP

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In Progress
Posted almost 14 years ago

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Paid on delivery
I need to duplicate this site: [login to view URL] I just want the multi-part form completed duplicated in PHP, with results sent to my email. So page 1 of the form will contain 2 dropdowns, with the exact same options as you can find on the link above. That data will be passed to page 2 or page 2b. If they choose fair credit or needs improvement, I want them to be redirected to a place (page 2b) where I can show them an affiliate ad for credit repair. If they click on the affiliate link, I want the affiliate link to open in a new window. I would also like them to be automatically taken to page 2. If they choose "no thanks", they should also be taken to page 2. page 2 will contain: (and you can see this on the link above) Property ZIP Code Purchase Year Estimated Home Value $ OK to estimate 1st Mortgage Balance $ OK to estimate 1st Mortgage Interest Rate % OK to estimate Your current mortgage is with Optional Existing Type of Rate Do you have a 2nd mortgage? I want my page 2 to LOOK EXACTLY LIKE THIS. Same form layout, same graphics-- EXACTLY LIKE MY EXAMPLE. I will change the graphics later. But the CCS and the layout should be the same. Page 3 should, of course, look like page 3 of the example. Almost every field is required. Especially the bullet question about FHA. page 4 will look exactly the same. Finally, they click to see results. Here, I need an if/then statement for states. If borrower state = Whatever, I want to display a table that holds data for up to four lenders. So the logic is: If borrower state = Arizona, then SELECT * FROM TABLE where state = Arizona. Then display: Lender Logo, Lender Name, Lender Phone, Lender Email, Lender website, lender detailed data. Example: (This is a table with 3 columns and 1 - 4 rows, depending on how many lenders for that state. But never more than 4.) column 1 column 2 column 3 [[login to view URL]] AZ Mortgage Company Co. Description (800) 555-5555 Website URL (link) Email (link) If there are no lenders available in that state, then a default lender will show up. So one lender needs to be set as a default. I also need a form so that I can upload new lenders to the database. For example, when there is NULL lender for Florida, the default lender shows up. But if there is EVEN ONE lender for Florida, the default goes away and the database lender shows up. I need a back-end form so that I can upload the logos and information that I provided above. So I need a password protected page that allows me to upload an image and input the necessary data. LASTLY, I want all of the form data to be written to a database that I can access with a web interface and I also want the data to be sent to up to 5 emails. The data should be emailed to up to 4 lenders that are displayed on the final results page, plus an email-- with the data-- should be sent to me also. So that would be five. The form would pull up to 4 lender emails, and my email always. This will be an ongoing project. I will continue to tweak it and change it, so I would like a programmer that tends to be available. One last thing: I can purchase a PHP script maker to do everything I want to do here. I realize that it might be cheaper for me to buy the software. However, if it costs a LITTLE more, and I get personalized service, I am willing to farm this out. Ideally, I would find somebody who already has a script like this and just needs to build the data entry and data recovery web interface for me. Sorry this was so long, but I want to be very precise.
Project ID: 2163233

About the project

Remote project
Active 12 yrs ago

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About the client

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Chandler,
5.0
7
Member since Jan 21, 2008

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