insurance website


Create a form submittal website in php, 15 fields, java form validator for all 15 fields, header to incorporate pull down menus, css control over most of the color and design. must be very professional looking. Design experience is crucial. I will show examples of my design requirements. Layout requires: header [6 drop down menus], left-menu, body (, right-menu, sub-footer, footer, I will need to see examples of your work. Must work in all major browsers.

examples of style required

[url removed, login to view] - i like the form position on this site

[url removed, login to view] - content provided here

[url removed, login to view]

[url removed, login to view] - very nice layout and color

Skills: Graphic Design, HTML, PHP, Website Design

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Project ID: #5156352

47 freelancers are bidding on average $19/hour for this job


Hi I am here by expressing my extreme interest to develop your project according to your requirements. I have gone through your requirements. Inspirad is a creative web design and Development Company in India pro More

$15 USD / hour
(355 Reviews)

Hi, We exclusively offer custom php web solutions based on PHP/codeigniter/Jquery. We are expert in codeigniter framework which is MVC based. We as a company, a team of competent developers of custome php uphold More

$15 USD / hour
(112 Reviews)

********* Ready to work ********** Hi, how are you ? i want to confirm one thing please do you need any online work like login/registration system etc? Thank you

$20 USD / hour
(197 Reviews)

Hello We went through project description and reference links very well .Please provide more details about the project .We are professional website design and development company operating in UK and India. We have 8 y More

$16 USD / hour
(103 Reviews)

Kindly ignore the bid amount & time-line, as we still need to analyze your requirements more in depth & discuss with you. -------- Dear Sir, I have read your Project Description and understand the initial concept, More

$30 USD / hour
(46 Reviews)

Hello, Greetings from phpMaestro! After reading project description we are scoping an insurance website through which users will be required to fill a insurance quote form which will contain 15 fields. Users will More

$20 USD / hour
(300 Reviews)

A proposal has not yet been provided

$21 USD / hour
(91 Reviews)

Let’s discuss further Please have a look at my portfolio I also provide unlimited revisions on design Design Work: http://livedemol More

$20 USD / hour
(226 Reviews)

Hello We are well reputed IT company in India and we are working legally under the reorganization of Indian government.we are having more than 500+ satisfied client all over the globe we are mainly focus on ASP.N More

$25 USD / hour
(3 Reviews)

Hello Sir, I went through the links you have shared and understood your requirement and sure to deliver exactly as per you required. We have developed many projects using similar skills you have mentioned, please More

$18 USD / hour
(119 Reviews)

Hi, Thanks for showing interest in our proposal, we would love to create an insurance website for you. We already developed a wealth compendium website for one of our clients, please check the link for website de More

$25 USD / hour
(139 Reviews)

A proposal has not yet been provided

$20 USD / hour
(38 Reviews)

Some of the links are broken. You can safely assume that anyone who did not report it did not visit all the links! I saw your examples and agree that the most important part of this will be the design and layout. We ca More

$26 USD / hour
(91 Reviews)

Hi, I have read your post and understood your requirement. I have good experience in handling Wordpress /Magento/Joomla/Drupal/ HTML5/CSS3/PHP/ Yii framework/Javascript/MySQL/ Kindly go through my works to c More

$25 USD / hour
(50 Reviews)

hello, We will provide- -Pixel Perfect Design implementation -Perfectly Cross Browser Compatibility -Completely SEO friendly.. -Perfectly Controllable from admin -1 Year FREE hosting Our Reputation- We have More

$20 USD / hour
(23 Reviews)

Hello, We can definitely serve you with your requirements of creating an HTML5/CSS3 website. We will deliver you with a Flawless website as per your Specification briefed. Please have a look at some of our Des More

$15 USD / hour
(39 Reviews)

For more details please refer our profile,portfolio and some of our recent sites listed with this message : Ongoing Developments : ======================= More

$20 USD / hour
(96 Reviews)

Hi sir, My name is Leonardo Medina, and I´m from Brazil. I have lots of experience in PHP. 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 D More

$18 USD / hour
(78 Reviews)

We have team of PHP professionals with different expertise and experience. We have team of designers to help them. We are interested in developing long term relationship by displaying our quality. We can work at More

$15 USD / hour
(52 Reviews)

My name is Joe Ingram and I am the president of Social-Rookie. With great success over the past couple years, I started my own web services company, Social Rookie. Our mission is to provide best-in-class web branding a More

$20 USD / hour
(62 Reviews)