Landing Page

IN PROGRESS
Bids
5
Avg Bid (USD)
N/A
Project Budget (USD)
$30 - $100

Project Description:
Please design a page in correspondence with the current web layout that you are currently working on.



Basically we need a request form produced. I’m assuming you would be doing this in PHP.



The color schemes are to be the same as the current layout. Each request is to be sent to a designated email address. Is there anyway of automating this so as the request come in they are directly inputted into an excel document based off the fields?



The page is to say at the top “Request a Free Gown Sample”



The request fields we will need the following fields.



** == field to select from (Drop down menu)

* = field to fill in



* Name:

* School Name:

* Address 1:

* Address 2:

* City:

** Country (If US Prompt for 50 states) (If other countries prompt a field to type in providence)

** State: (All 50 States)

* Zip Code:

* Telephone:

* Fax:

* Expected Number of Graduates:

** School Type: (High School / Middle School / Elementary School / Pre-School / Kindergarten)

** Gown Color: (Black, Maroon, Red, Gold, Emerald, Forest, Sky Blue, Royal, Navy, Purple, White)



Please set the following fields to be necessities so a request cannot go through without them; Name, School Name, Address1, City, County, State, Zip Code, Telephone, Expected number of graduates, School type, Gown Color.



The only field we won’t need as a necessity is the fax numbers.



I will be emailing you over any pictures needed to produce the page. Any questions please feel free to ask. Hope all is well.



Skills required:
PHP
Hire flash007
Project posted by:
flash007 United States
Verified
Public Clarification Board
Bids are hidden by the project creator. Log in as the project creator or as one of the bidders to view bids.
You will not be able to bid on this project if you are not qualified in one of the job categories. To see your qualifications click here.