4 Basic Data Capture Pages - PSD Provided

In Progress

We are looking for an experienced developer to:

Add these 4 data capture fields to 3 PSD designed forms.


Contact Number

Email Address

Post Code


Store data on 3 different MySQL tables.

Send captured data to a fixed email address. A different "subject" line for each of the forms

Number of forms: 3

Number of fields: 4 on each form (all the same)

PSD Design of form will be provided.

An addiitonal landing page will be provided which needs to be mobile/tablet optimised and link to each one of the forms

Developer must have experience working on a Plesk server.

We need work completed within a few hours

Forms should be mobile & table optimised.


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Project ID: #4690248

Awarded to:


Please check PMB.I can do it on your time and cost with great quality.I am a top 10 oDesk developer started here now.

$2 USD / hour
(1 Review)

3 freelancers are bidding on average $6/hour for this job


Ready for this job, please discuss more in chat.

$8 USD / hour
(67 Reviews)

Hi Having experience of six years in PHP, Mysql , Ajax, jquery etc Please check my work and Let me know your opinion soon Thanks priyanka

$8 USD / hour
(4 Reviews)