Online Web Form

I have a website : ( [url removed, login to view] ) that I need to do some enhancements for. One project I currently need to be done is an online form with payment integration that its fields are easy to edit on my side as I am going to update it a lot. The form should do the following:

** My website does not support any PHP content so it should be in HTML, CSS, JAVASCRIPT

1- Take all required info from the customer

2- When the customer changes a certain value the price is updated on the same page automatically

3- Once the customer click Pay (We use paypal). It will take him to Paypal for payment

4- This feature is very important. If the customer SUCCESSFULLY pay then I want an email to be sent to me and to the customer with all submitted data

5- Save the form entry data to a database that I can have access to and I can extract to spread sheet every time I need to

** If the customer cancel the payment or if they don't pay I don't want to have anything saved on the database or sent to me or them

** The form should load quickly and without delay

Skills: CSS, Database Administration, Electronic Forms, HTML, Javascript

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About the Employer:
( 47 reviews ) Ottawa, Canada

Project ID: #5041914

29 freelancers are bidding on average $178 for this job


Firstly I wish to state that this feature can be coded only in PHP. We are a team of web developers with expertise and experience in PHP and MySql. We have coded umpteen forms and have integrated Paypal for many man More

$263 USD in 3 days
(189 Reviews)

I have read your project details, and I am interested in offering my services. I provide 100% satisfaction guaranteed on all my work. Milestone is required to begin; to be released when the job has been satisfactor More

$250 USD in 4 days
(152 Reviews)

We are ready to endow with the solution as per your requirements. OUR DEVELOPED RECENT WEBSITE LINKS: ------------------------------------------------------------------ 1) [url removed, login to view] 2) [url removed, login to view] More

$154 USD in 3 days
(77 Reviews)

Hi, We have a rich experience in ecommerce website development and have completed many successful projects. Please check our some good works using the below URLs. E-Commerce Projects [url removed, login to view] http More

$250 USD in 10 days
(35 Reviews)

Hi, I am highly interested to taking up this job. I am experts in PHP, MySql, Codeigniter, AJAX, XML, CSS, Java-Script, HTML5, Photoshop, Illustrator, Flash, SEO, Joomla, Wordpress, Drupal, Open-Cart, Prestashop, OsC More

$185 USD in 5 days
(49 Reviews)

Hello Sir, We have gone through the details you have provided and would be pleased to work on this with you to deliver the results that you have expected and We are sure you will not be disappointed if you give us More

$144 USD in 3 days
(26 Reviews)

Hello We can offer you a dhru fusion integration for your site, the module automatize all order processing and send an email with unlock code when the dhru fusion order is completed. Let us know if you are intere More

$155 USD in 3 days
(45 Reviews)

Hi sir, My name is Leonardo Medina, and I´m from Brazil. Please drop me a line, so we can discuss this project in details and I can make a proper bid. I'm an experienced Web Developer / Software Developer work More

$147 USD in 6 days
(39 Reviews)

We can complete all our mentioned tasks using html, css and javascript and we will not use php. We are expert in such client site validations and we can get this done for you in a very short time. Can we discuss detail More

$210 USD in 6 days
(24 Reviews)

Can we discuss this in detail before start this project,to know more about us please check in Private Message. We have a team of professionals,they have more than 11 year of experience,so we can manage this work and More

$250 USD in 12 days
(8 Reviews)

Very kind greetings to you there,Kindly check pmb Very kind greetings to you there,With deepest regards, we welcome you on behalf of AmbalaOnline, one of the largest web development and webdesigning companies in Indi More

$483 USD in 9 days
(15 Reviews)

i am expert php developer,expert in jquery, javasript, css, html, custom php,wordpress etc. i have done similar job before two days on freelaner here is link [url removed, login to view] price is calcul More

$147 USD in 3 days
(23 Reviews)

Hello, My question is if your website doesn't support php then how it can be saved into database? Lets discuss so that I can give you solution. I have 7 Years development experience into web based applications More

$144 USD in 3 days
(6 Reviews)

Hi We are the software development company having strong market [url removed, login to view] have experienced UI developers and we had worked on many of the web projects like word press php joomla html,etc.I read your project descri More

$263 USD in 12 days
(4 Reviews)

I have been working as an web developer and I totally understand your needs. I can build the form using HTML, Javascript and Ajax. Please add me in Skype: seth_93 to talk further. Thanks Mohaiminus Sakib

$150 USD in 3 days
(17 Reviews)

I have 8+ years of experience. Can we discuss the project further. It is an very easy project for me as i have dealt with similar kind of thing in the pas

$210 USD in 10 days
(1 Review)

Hello, We are a team of experts. We have a vast experience in front-end development and design, Our skills make us an exceptional choice for your projects that involve Web Designs, XHTML, CSS, Responsive Design ( More

$155 USD in 3 days
(13 Reviews)

READY TO START YOUR WORK NOW... NO NEED TO PAY [url removed, login to view] I WILL GIVE YOU UPDATE THEN YOU CAN CREATE MILE STONE PAY [url removed, login to view] [url removed, login to view] [url removed, login to view] http://jblsolut More

$63 USD in 2 days
(8 Reviews)

Hi, We have gone through your requirements and understood it. For this we will provide you a script which will take all the information from form and go to the payment page in paypal .After successfully payment thr More

$61 USD in 3 days
(3 Reviews)

Hello, As I am working for 10 years in web Industry providing top quality of work using various CMS. Just let me do it, I am sure you would be satisfy with my work. Already done over 1000 web Projects inclu More

$147 USD in 7 days
(3 Reviews)