I need info form for website
$30-250 USD
Paid on delivery
Hello, I will need info form page with next details:
First Name __________________
Last Name __________________
Social Number _________________
Pin Code ___3 numbers__
Expire account (here I need month and year selector)
Zip Postal Code _______________
Country_________________
Email_________________
Complete action button, and after they hit complete button will recieve a message that their records was recorded.
I will need this infos to recieve on my mail on every signup to this.
Please add all this details in a nice div design, not more than 800px width and a big nice font, I will add after on my website.
Waiting for your bids!
Project ID: #15694680
About the project
Awarded to:
This is for me a lakh job. I can work for you very quickly. I have an excuse in programming for more than 7 years. I hope we cooperate. Contact me on chat
68 freelancers are bidding on average $119 for this job
Hi, I have gone through with your requirements and I have exact match skills as the current project. I am an experienced web developer and ready to build a nice, clean and responsive design form for your website More
//** READY TO START RIGHT AWAY AND PROVIDE YOU WITH IN NEXT 24 HOURS AS PER YOUR NEED **// Hello Sir / Mam, Greetings, Thank you for giving us opportunity to send our proposal on your project. I have gone throug More
Hi, I am interested in this form configuration project. I checked your details and understand your requirements. I am ready to start. Possible to add a good design for this form. Thanks Shibu
Hey there! i see its just like form development when user's fill the form and you will receive all user's into into specific address . Let me know if we can start this job please Thanks
Hello there, i checked your requirement that you need info form page. I checked the all point as well. I am ready to discuss with you. please DM me. thanks
Hello. I can complete the format you've described in 3+ hours. Is it just the form being emailed to you and then a confirmation for the user?
Hello Sir, My name is Mohit and I understand your project requirement carefully. I will create a nice form using bootstrap framework so it will be responsive too for small devices. Also, will validate before submit More
Hello Sir, I have vast experience of web development & designing have developed many websites with client satisfaction have developed many websites & also have done form submission process. Once you chat with More
Hello i can create you form like that with html,css+php for function i will need few hours to make it look good but i am sure you will be happy and it will be easy for you to integrate it regards
Hi, I can start immediately. I have read your requirement very carefully and I am pretty sure that I complete your task within given time and budget. Lets discuss on chat. Thanks
Good Day I'm Sr Word Press, Magento, Open cart, Joomla, Drupal, Html5, Java, Jqery Php & developer and I've 7 years experience working in word press website development. i will do this project according to your More
Hello, How are you? I have read your project description carefully I am very interested in this project. I have a lot of experience in this type of work. I'm sure I can complete it on time with high quality acco More
Hello, I can develop info page with the given details. you will get a mail at every signup. looking forward to working with you Thanks Sapna
Hello I can build this form within 4hr. Can you please give me a chance to do a job for you? Looking forward to your answer. Regards Sabbib
We are very interested in this project. I have read your above description and i think its well within our range to execute this is in a good time frame so would you be kind enough to message me so we can have a fast a More
Hi there, This type of form we have created many times before for Hyundai and Barclays companies. Do you also need data to be downloaded in the form of excel file? However can we get connected over freelancer for More
info form for website CSS, HTML, PHP, Website Design, WordPress 7 years experience Please respond to me