Website Form - repost


I need a form that will allow users to select a category, years of coverage, then the submit button will take the user to a page to purchase the plan based on the category. There will be approximately 8 combinations. I will provide a PSD layout of how the form is suppose to look. The copy will be dummy copy due to the confidential nature of the project. In turn, I will need a commented HTML file as well as supporting css and javascript, so I can update with the appropriate copy and links.

Skills: CSS, HTML, Javascript

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About the Employer:
( 0 reviews ) Egypt

Project ID: #5452462

9 freelancers are bidding on average $94 for this job


Hi, I am here to discuss more regarding your specification and need. We have sound knowledge in : * PSD to XHTML conversion. * PHP and mySql. * Joomla 3 Website design and customization. * Wordpres More

$360 USD in 9 days
(85 Reviews)

We can convert your psd to html, but why you want to html? since i am ready to provide the psd to wordpress conversion for the same cost. The wordpress conversion is important for seo and content management system your More

$205 USD in 7 days
(52 Reviews)

A proposal has not yet been provided

$50 USD in 3 days
(14 Reviews)

Hi there, Please provide to me your psd. I will make a html and css like you request. After that I will send back to you

$30 USD in 2 days
(13 Reviews)

A proposal has not yet been provided

$35 USD in 1 day
(5 Reviews)

Hi ahmedfathig, I'm a new member of freelancer, and I'm interested in your project. I have read your description carefully. Right now, I can discuss and work on your job. I will work hard, so I can complete it on time More

$30 USD in 1 day
(3 Reviews)

Hi we are a team of freelance software developers, if you contact me at our website we can discuss the details of the project. w w w .

$25 USD in 1 day
(0 Reviews)

I am willing to run your project let us work together in case you fit in with my work, I want to run your project but I just do css.html

$88 USD in 6 days
(0 Reviews)

I have a lot of experience with JavaScript and I'd like to perform this task, please send me the details on my email.

$25 USD in 2 days
(0 Reviews)