Concrete5 Block to send HTML Form input to CapsuleCRM

We need someone who has experience with developing Packages/Blocks for Concrete5 CMS.



- You have never developed anything for Concrete5 before.

- You can't turn this around in < 2 days

- You don't know what CapsuleCRM is




This Block provides a Contact Form that when Submited sends the Person's details to CapsuleCRM. CapsuleCRM will respond with an HTTP 200 response.

The Block needs to allow a mix of the following details to be defined during Block creation. When used by a new Contact on page, the Form submission needs to be done via an Ajax call and response and should then hide the input form and display a Success message, or Fail message.

If an input is not populated it is not to be included within the Form.

There Ajax call needs to display a Timer and have smooth transitions.

CSS styling needs to be able to be included as well as what each form element is wrapped in e.g. P or DIV or LI

Form input validation should be included as described.

HTML Form details:


1) Form Action e.g. URL (required )

2) HIdden Input FORM_ID (required)

3) Hidden Input COMPLETE_URL

4) Hidden Input REVIEW_ID

5) Hidden Input DEVELOPER

6) Hidden Input SEND

7) Text Input FIRST_NAME (required)

8) Text Input LAST_NAME (required)

9) Text Input PERSON_NAME


11) Text Input TAG (3 of these)

12) Text Input EMAIL (required - check email format)

13) Success message - displayed upon successful response from CapsuleCRM via Ajax call

14) Failure message that includes a link to re-try or clear and start again

The Block/Package must be complete and able to be installed on the current stable version of Concrete5.

Skills: CSS, HTML, jQuery / Prototype, PHP, Zend

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About the Employer:
( 7 reviews ) Auckland, New Zealand

Project ID: #4530789

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