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Create responsive form from sample, add info to database. Pull reports

$30-250 USD

Completed
Posted almost 9 years ago

$30-250 USD

Paid on delivery
What I need you to do is: 1. Create a form starting from this sample. I need the exact same data. [login to view URL] I'll provide you the logo and the colors. It does not need to look exactly like the origininal. Just have the same content. 2. Make sure that the form is 100% responsive and validate data (specially dates and emails). 3. Send the data to a database. I can create the database for you and give you the fields with datatypes. 4. Create an "admin" area, (preferably a folder in the server that has a unique password for all users), where you display: a) A List of the fields in the database, Showing LastName, Name, Email, Date the form was submitted. b) When admin clicks on a name of the list, it will display the full data that was input by the client. Please add option to go back to list or log off. No data edition required. Please, ask any questions you want. No copyright infringement will occur since the target site is also owned by me. In your reply to this project let me know: 1. Time Frame 2. Quote 3. Resources you require.
Project ID: 8288068

About the project

21 proposals
Remote project
Active 9 yrs ago

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Hello Client, Hope this message finds you well! Thank you for giving me the opportunity to bid on your project. i have more then three years of experiences in Web developments. My store Url : [login to view URL] My skype id : kakadiyainc i have study all your requirements. i am ready to do this job. please contact me for move further.
$50 USD in 3 days
5.0 (5 reviews)
3.3
3.3
21 freelancers are bidding on average $149 USD for this job
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Hi I work towards providing reliable, relevant and robust IT solutions at most competitive prices to my customers. I ensure 100% customer satisfaction so lets start Thanks
$185 USD in 7 days
4.9 (237 reviews)
7.7
7.7
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Hello, I can write such a form + back-end to view all the submitted forms. It'll take 1-2 days to complete the project. I'll send you all the files + DB dump (you don't have to create anything). Serge P.S. I'm a pure coder. Please ignore my bid, if you require design work as well ( I can integrate form into existing template)
$70 USD in 2 days
5.0 (482 reviews)
6.5
6.5
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------------ PHP EXPERTS HERE --------------------- Hi. i read your project and as per my understanding you need a form that is 100% responsive a little different from original and the specifications you have mentioned below. About our company, we are a team of 15 people working from past 4 years in the PHP technology and can get this project done with awesome features and great support. Hoping a discussion.
$150 USD in 3 days
5.0 (79 reviews)
6.7
6.7
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Can do this task. I have years of experience in web designing, responsive web designs, development using php mysql, html5, css. Lets discuss so we can get started right away and show you an early demo for the design. Thanks.
$67 USD in 2 days
5.0 (64 reviews)
6.6
6.6
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timeline will be 2 days and cost will be 150$ and i need logo, font, more info i will ask once we disucss the project
$150 USD in 2 days
5.0 (132 reviews)
6.2
6.2
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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 development for roughly 7 years. I take great pride in my work and deliver only the best quality. My skill-set includes... -PHP -HTML5 -CSS -AJAX -Responsive Design -Joomla -Wordpress -Magento -Photoshop -Illustrator -Video Editing -Data entry I look forward to hearing from you and hopefully we will have the opportunity to work together. Thank you, Meagan S.
$210 USD in 3 days
4.8 (120 reviews)
6.3
6.3
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Hi, I would like to do this job, I could wrap this in around 4 days time and I need FTP and phpMyadmin / cPanel info from you to do this job. Regards,
$150 USD in 4 days
5.0 (94 reviews)
6.1
6.1
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Hello Sir, I can do this within 3 days. I need ftp access from you to work. And I am ready to start the work now If you are ready. Thanks.
$160 USD in 3 days
5.0 (42 reviews)
6.1
6.1
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Hello we are a team of experienced php developers and designers. we have just started working together as a team of freelancers. before this, we had been working with local software companies. this is first time we are gathered for working on our own projects. we are four developers and one designer. we have more than 3 yr experience. we have worked on cms like wordpress, magento and joomla and frameworks like codeiginitor, zend framework(1 and 2) and also entity framework like symfony.. currently we are working to render some prototypes on our server, so that we can show it up to our clients and get projects. we are interested in your offer. please advise. Thanks
$126 USD in 4 days
4.6 (24 reviews)
4.6
4.6
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A proposal has not yet been provided
$66 USD in 3 days
5.0 (7 reviews)
2.9
2.9
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hi I can complete your requirements as you describe with 100% satisfaction. admin panel will be available in different folder with all functionality you describe. all things will be fully responsive. timeframe will be 2 days . I need logo and SQL structure of your database thanks sourav
$56 USD in 3 days
5.0 (2 reviews)
1.7
1.7
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Hi, i can handle this efficiently, being an expert and professional graphic designer with a good experience and high skills at catchy logo designing, building corporate identity, banner, brochure, flayer designs, 3D modeling, icon and web designs, i offer you the highest quality reliable services for your requirements. i would be there for you to make revisions as long as the things are not passed with excellent grades from your side. Please leave a text to initiate the conversation. thanks.
$157 USD in 2 days
0.0 (0 reviews)
0.0
0.0
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Hello i can complete this for you in this time frame. It's a bit longer but that is because i have to learn for my college exams so i cant focus 100$ on it. I will develop this with plain php and a database behind it (mysql). Also i can create a simple admin panel for you with a login areas as well so you can manage/add further admins if you want to. Send me a message if you'r interested
$122 USD in 8 days
0.0 (0 reviews)
0.0
0.0
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A proposal has not yet been provided
$155 USD in 3 days
0.0 (0 reviews)
0.0
0.0
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I checked the form and understand your requirement 100% I can guarantee you the desired result and satisfaction 100% I invite you to meet me over skype. Lets get started. REards, Azeem
$388 USD in 5 days
0.0 (0 reviews)
0.0
0.0

About the client

Flag of UNITED STATES
Phoenix, United States
5.0
66
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Member since Jul 14, 2004

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