Cancelled

Web Form Needed

I need webform built and integrated into my existing website.

1. On the existing page we need a button that states [Report Problem]

2. When the button the user will be taken to a page or pop-up and fill out the following information:

- a. Name (single line)

- b. Email Address (single line)

- c. Phone Number (singled line/ xxx-xxx-xxxx format)

- d. Problem Reported (multi-line)

3. When the user clicks submit the following should happen:

- a. an email with the information provided needs to be sent to (3) pre-defined email addresses

- b. the user should receive an email as well indicating that the problem report has been received

- c. the user should be returned to the original page where they clicked on the button to report the issue

4. Regarding item #2 above. The user should only see the form when the support department is closed. When the support department is open, the user should recieve a message indicating that the support desk is open and to call a specific phone number. Users SHOULD NOT be able to see the form to submit issues per the schedule below (all times are Pacific or GMT-08:00).

- Monday - Friday 4a - 6p

- Saturday 5a - 1p

All of this code needs to be compatible with ASP & /NET. This will be running on MS IIS server. Also the SMTP server will be the local host as well (127.0.0.1). This needs to be done within (2) days.

Skills: .NET, ASP, HTML, Javascript, Website Design

See more: support desk, javascript phone format, web phone message, number format asp net, smtp server net, web form format, open smtp server, pre pop email submit, net webform, asp email web, fill address line, javascript form fill website, addresses form, phone support needed, javascript fill website form, fill website form javascript

About the Employer:
( 23 reviews ) Leavenworth, United States

Project ID: #4774008

81 freelancers are bidding on average $83 for this job

sanjay2004

We have strong hands at asp.net framework and can deliver you an efficient form.

$124 USD in 2 days
(926 Reviews)
9.6
guru004

I have done similar work before :)

$100 USD in 2 days
(431 Reviews)
7.4
ambar

Dear Sir/Madam, We are Microsoft Certified partner company. All our developers are Microsoft Cerified. Please check the feedback given to us and you will note that most of the feedback came from the repeat customers More

$79 USD in 3 days
(94 Reviews)
7.3
shmai

have a glance at Pm. Regards, shmai

$100 USD in 4 days
(216 Reviews)
7.1
the13thwarrior

Hello Sir, We can complete this within 2 days. Please check PMB for our proposal. Thanks, Vipul

$113 USD in 2 days
(167 Reviews)
7.0
srinichal

I can deliver the web form

$126 USD in 3 days
(82 Reviews)
6.8
geekydeveloper

Hello Mate, We have 6 years of experience of core development and we have Experienced team

$128 USD in 2 days
(36 Reviews)
6.8
webzin

Lets get it done...

$83 USD in 3 days
(80 Reviews)
6.7
Samtiger2

I can cerntainly help you resolve this issue at the earliest possible. Thanks, Sami

$123 USD in 1 day
(51 Reviews)
6.3
PixelManagers

Please check private message box. Thanks!

$100 USD in 3 days
(99 Reviews)
6.2
netcoder

Hi, I think I can do it:-)! Best regards, netcoder:-)

$55 USD in 3 days
(129 Reviews)
6.2
gkalish

Having 10 + years experience in ASP.net and willing to start the work immediately

$111 USD in 3 days
(172 Reviews)
6.0
coderPros

I've been working with ASP.net for over a decade and could quite honestly do this with my eyes closed. Please see my private message for more pertinent information. Thank you!

$98 USD in 2 days
(22 Reviews)
5.8
aspnetlancer

Hi, I am a .Net and SQL Server Programmer having more than 9 years of experience in MS technologies. I will be able to do as per your requirement. Looking forward to work with you. Thanks

$77 USD in 2 days
(22 Reviews)
5.6
Steel9561

Hi there, I will gladly help you implement the functionality you are requesting for your ASP .Net website. I can definitely let user submit the web form only on non-available times. I will take care of making the websi More

$128 USD in 2 days
(38 Reviews)
5.6
subhanisaleem

I can do the job

$111 USD in 4 days
(6 Reviews)
5.1
Rafflesitpark

Please check PM

$105 USD in 3 days
(31 Reviews)
5.0
codeindiadigital

Hello sir, I'm a freelancer from India. I can do this job very easily. Providing my details on PMB

$40 USD in 1 day
(20 Reviews)
4.4
abparmar99

We are a team of 25+ creative members. We have 7+ years of experience in Graphics Design, Web Design & Development, E-Commerce Development, iphone/Android Development, SEO (Search Engine Optimization). We have complet More

$128 USD in 3 days
(9 Reviews)
4.2
krishnadubey

Happy to complete in single day

$30 USD in 1 day
(20 Reviews)
4.2