Web Form - responsive, populates db, sends email

Completed Posted Dec 27, 2014 Paid on delivery
Completed Paid on delivery

See attached 2 images. Form must be attractive, fast, formatted as shown, populates MySQL db, has popup descriptions/choices - when complete sends email. Must run/look good on PC, tablet, Android, iPhone, iPad ... and IE, Chrome, Safari, Firefox, Opera. Winning bidder will be provided detailed tables with drop-down/popup information. Build on your server or mine - then port when finished to yahoo small business server. Please do not bid this if you are not very experienced with good responsive designs - this must look/act good.

CSS HTML5 MySQL PHP Website Design

Project ID: #6910125

About the project

33 proposals Remote project Active Dec 29, 2014

Awarded to:

RockStone435

Hello, I want to know if you like some layout/design that we can follow? Secondly, I have read details and you are refering to some tables A, B etc, and I think these are not provided in any of the images. Do you ne More

$275 USD in 6 days
(658 Reviews)
8.9

33 freelancers are bidding on average $426 for this job

TopSEOExpertscom

Hi, I've worked for you on your previous project "MySQL form & email sender" and will be glad to work for you on this one as well. Here's my bid to implement this for you. Let me know if you have any questions.

$270 USD in 10 days
(258 Reviews)
7.9
zainy01

Hi! I've seen your requirements, I m interested in it, I have highest reviews for jQuery (frontend) at freelancer.com and have good completion rate, and experts in PHP(Yii,Symfony,cakephp,CI,Zend) for Server side. More

$277 USD in 4 days
(111 Reviews)
7.8
malviyamanish

Dear Client, I have reviewed and analyzed your jpg and requirement. Basically you need a responsive, adaptive, bug free website. Sure i will provide you with quality and satisfaction. My expertise includes P More

$473 USD in 10 days
(308 Reviews)
7.9
BittLoader

Hi! I can do it! Please contact me before awarding this project as i had completer around 500 projects here on freelancer and i have a lot of experience in this field. I will provide only high quality work! Thank you!

$562 USD in 2 days
(233 Reviews)
7.3
MplussoftIndia

Hi, I have read your project description and interested to work on this project. Kindly initiate the communication and discuss more details about project so I can provide you proper solution. This is just a ballpark e More

$526 USD in 10 days
(87 Reviews)
7.4
logicscreators

A proposal has not yet been provided

$300 USD in 7 days
(162 Reviews)
7.3
rajawi9999

Hi, I'm expert in web development for more than 12 years ago. I'm interested in your project and ready to start it right now...I'm sure that you will be 100% satisfied. Kind Regards Rajawi

$333 USD in 2 days
(230 Reviews)
6.9
NeOLiO

Hi, Respected Client, I have checked attached images. I can provide you responsive forms with mysql integration and email information to your email address. Yahoo small business hosting servers differ when configur More

$277 USD in 3 days
(172 Reviews)
7.2
techwelfare

hi we could do it perfectly with accuracy, please let us know if you want to clarify in details.. if you want us to share our skill and previous work please initiate the chat by replying..

$595 USD in 10 days
(220 Reviews)
7.4
diastark

A proposal has not yet been provided

$250 USD in 4 days
(242 Reviews)
6.8
Mohsen6558

Hi. we can design this on bootstrap for have responsive page. please pm me. thanks ...........................

$500 USD in 5 days
(42 Reviews)
6.1
sisodiakaran

Dear Employer, Let me introduce myself as an expert software programmer and am really interested in working with you. I have done many offline jobs. I am willing to complete your job at a very fast pace and at a min More

$250 USD in 1 day
(20 Reviews)
5.3
bishkot

Hello sir, i am ready to develop this web form for you. I can also develop a small admin panel from where you can set every option of the dropdown in case some time you need to change them. I will use javascript and More

$300 USD in 10 days
(3 Reviews)
4.2
ejugiter

I have gone through your requirement and we have experience on similar work. Pls initiate chat for further discussion. I have more than 12 years experience and very good in web design HTML5, Graphic Design, Php Open More

$515 USD in 10 days
(12 Reviews)
3.6
cssfounder

Relevant Experience and Qualifications: Hello, I have built several cross platform Web application Based on your requirements, i have strong feeling that i could be the best fit for your cross platform development wi More

$555 USD in 10 days
(21 Reviews)
3.1
ichal1911

A proposal has not yet been provided

$555 USD in 10 days
(0 Reviews)
0.0
chrismuiruri

I have a deep passion in php+html5, i love designing awesome websites.i'll deliver something that will be delightful and presentable.

$500 USD in 10 days
(0 Reviews)
0.0
aoliveira000

I have over 10 years of experience building websites and stand-alone applications on multiple platforms. If you decide to hire me, I will also make sure that your site is responsive. That is, that it will adapt its More

$275 USD in 5 days
(0 Reviews)
0.0