Find Jobs
Hire Freelancers

Create a simple form for a website

$30-250 USD

Closed
Posted over 14 years ago

$30-250 USD

Paid on delivery
Our website [login to view URL] needs to have a new form built. Leading up to Christmas, we are giving out a lot of marketing material to the public and we are giving out a lot of Promo Codes. The purpose is to have people come to our website, provide us their first name and the email address, so that they can check the value of their promo codes. Each promo code is worth a different amount of money which can be used when making a purchase. The promo codes are as follows: awesome gift = $5 happy gifting = $10 great gift idea = $15 unique gift = $20 best gift = $50 So what we need is a basic form that take the customers name and email address and then shows them the value of their promo code after they enter it. So the form should have three fields: 1) First Name 2) Email Address 3) Promo Code Once they enter these three fields and clicked submit, they should go to a page that tells them the value of the code. For example: "Promo Code = $10" Only the text would be in red. All the information on the form should also be emailed to our email account. PLEASE NOTE: We only require the form to be created on its own. We do not need it to be built into the site. Once we have the script for the form, we will have our webdevelopers place the form on the site. If you can have the form look as close to possible to the attached image, that would be great. We do not mind which langauge the form is in... as long as it works. The two images attached show exactly what the form should look like and how it should work. Please let me know if you require any more information.
Project ID: 513648

About the project

44 proposals
Remote project
Active 14 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
44 freelancers are bidding on average $36 USD for this job
User Avatar
lets start..
$30 USD in 0 day
4.9 (331 reviews)
8.0
8.0
User Avatar
I am very exited to design this for for you
$30 USD in 0 day
4.9 (103 reviews)
7.6
7.6
User Avatar
Hi please check pmb for details
$30 USD in 0 day
4.9 (132 reviews)
7.8
7.8
User Avatar
Please check portfolio in pm
$30 USD in 1 day
4.8 (41 reviews)
7.4
7.4
User Avatar
Hi sir, let me do it NOW! Thanks, Kimi.
$30 USD in 1 day
5.0 (122 reviews)
6.8
6.8
User Avatar
lets start it . Regards meena
$30 USD in 0 day
4.9 (33 reviews)
6.6
6.6
User Avatar
Only 15-30 Mins . lets start. thank you imran
$30 USD in 0 day
5.0 (69 reviews)
6.3
6.3
User Avatar
You'll have no problems in selecting a winner.
$30 USD in 1 day
5.0 (5 reviews)
5.7
5.7
User Avatar
Dear Sir, Please see PMB
$30 USD in 1 day
4.9 (45 reviews)
5.2
5.2
User Avatar
hi, should be easy and fast, ready to help you.
$30 USD in 0 day
5.0 (35 reviews)
4.8
4.8
User Avatar
Hello Sir, I can do this in next 2 hours. Please check PM for details. Thanks Sakshi
$30 USD in 0 day
4.8 (10 reviews)
4.8
4.8
User Avatar
Hello, Mike. If you wait a bit I'll show you a demo.
$30 USD in 0 day
5.0 (23 reviews)
4.8
4.8
User Avatar
Hi, Ready to start, all requirements of the form + design as in images provided will be provided.
$30 USD in 1 day
5.0 (14 reviews)
4.4
4.4
User Avatar
Hi, I can solve your problem, but at first, I need more information about this project. Please check PMB. Thank you!
$30 USD in 1 day
5.0 (5 reviews)
4.0
4.0
User Avatar
Please check PMB all the details.
$30 USD in 1 day
4.2 (14 reviews)
4.5
4.5
User Avatar
See PM for details.
$30 USD in 1 day
4.8 (14 reviews)
4.1
4.1
User Avatar
Please check PM for detail.
$30 USD in 0 day
4.9 (10 reviews)
3.7
3.7
User Avatar
Please read PM from me.
$30 USD in 1 day
5.0 (9 reviews)
3.7
3.7
User Avatar
Hi, Please check PMS
$30 USD in 1 day
4.8 (3 reviews)
3.8
3.8
User Avatar
I am ready for this. Please see PMB
$30 USD in 1 day
5.0 (11 reviews)
3.7
3.7

About the client

Flag of AUSTRALIA
Sydney, Australia
5.0
4
Member since Sep 21, 2009

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.