ADF/XML Form for Landing Page

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Bids
10
Avg Bid (USD)
$213
Project Budget (USD)
$30 - $250

Project Description:
We are creating 50+ landing pages for specific vehicle models for multiple dealerships. We need a form that is scalable across all landing pages (which are on multiple sites).

See "Request E-Price" form at this example link: http://jeepomaha.com/Jeep-grand-cherokee/. We need coding for the form to be sent in ADF/XML format to our CRM that would also include car type and referring page source. We need the form to include in-line validation and we need a corresponding confirmation page created.

Form fields for our form include: Name, Phone, Email, Zip Code. Additionally, we would like the ability to add in the option to make this a "Schedule Test Drive" form and have a date and time picker. We would also like an area dedicated to a phone number as seen on the landing page link above.

If you have any questions, or would like to discuss over the phone, please contact us at The Administrator removed this message due to contact details which breaches our Terms and Conditions.. Thank you!

Megan Steele

Skills required:
HTML, PHP, XML
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MeganSteele United States
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