Create a Wordpress Template



Hello Bidders \\

What we want to create is a a few layer online form, that requires an email and password to enter.

- We want the user to fill out some info through a 3 step process

- Step 2 will require the user to sign the form with a online consent signature that is legal.

- Step 3 we would like the form to request the either scan their ID via the camera on their computer, or take a picture with their phone and upload the file in the form.

Once they press send, it will email the completed form to a gmail secure email, and record their IP address for extra confirmation.

We want it Mobile friendly and the ability to scan and sign via an app as well.


Skills: CSS, HTML, PHP, WordPress

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Project ID: #5903120

27 freelancers are bidding on average $224 for this job


Hey there ! Certified Wordpress expert here with 6+ years of exp. I'm in Top 5 among 11,000,000+ freelancers in in wordpress category. You can verify the same here : More

$257 USD in 5 days
(313 Reviews)

We are highly interested to work with you on this project and can assure you quality results ready to start immediately some of our developed websites are listed below Wordpress: htt More

$526 USD in 10 days
(367 Reviews)

Dear Sir, We have 7 years experience on Wordpress, HTML, CSS, JavaScript, PHP, MySQL, etc. We have gone through all of the requirements for your project. Very familiar with theme customization (Genesis, Thesis, Elegan More

$180 USD in 5 days
(253 Reviews)

Hello, 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 t More

$421 USD in 4 days
(67 Reviews)

Hi, We have read your project description carefully. Here we have some question regarding your project requirement --------------------------------------------------------------------------------------------- 1 More

$263 USD in 5 days
(166 Reviews)

A proposal has not yet been provided

$200 USD in 4 days
(146 Reviews)

Hello, Greetings from "Hire WordPress and Design Experts". We have gone through the information provided by you. We would like to tell you that we have a right expertise in CSS, HTML, PHP, Wordpress. Yes, we will c More

$180 USD in 25 days
(112 Reviews)

Greetings!!!! We work with all of our clients individually for personalized services and to meet quality & delivery as per the requirements and scope. WordPress and PHP developers, Web Designers who has been working si More

$147 USD in 3 days
(135 Reviews)

Hi I have more than 4 year in Design and Develop wordpress responsive website , Jquery, HTML, CSS so I believe I will make you happy in both the quality work and the service I provide you. Please check out som More

$210 USD in 5 days
(135 Reviews)

Hi, Please go through our profile and reviews. Following are some of the links of our recently concluded wordpress projects. ht More

$257 USD in 8 days
(64 Reviews)

Hello Sir, First of all, we would like to tell you how we will initialize the project with you. We insist to follow these steps before you award the project to us: - we(technical team) will review the job and as More

$206 USD in 5 days
(58 Reviews)

Hi I work towards providing reliable, relevant and robust IT solutions at most competitive prices to my customers. I ensure 100% customer satisfaction so lets start Thanks

$206 USD in 7 days
(64 Reviews)

Hello Dear Client, I am rated as 5 star on Freelancer. I am a WordPress Professional. I am interested in your project. Please reply me back to start your project. I have designed/redesigned many themes, ple More

$150 USD in 8 days
(41 Reviews)

Ready to start "Now " Give me chance to prove my ability and also quality work i am waiting your positive replay from your side i am highly interested to work with you

$185 USD in 3 days
(164 Reviews)

Dear Sir, We claim to get it done perfectly for you EXACTLY in the way you want it - Kindly give we a chance and we will prove myself - Ready to prove our words, let's get it done right away and I mean RIGHT AWAY !! More

$252 USD in 3 days
(63 Reviews)

Hello Sir, We have checked your job detail and as per that we are able to do your job and we have very good experience in Word Press, Joomla, Joomla component, Modules, PHP, HTML,Magento etc . As well knowledge on More

$200 USD in 6 days
(34 Reviews)

Hey Greetings of the day. For design you may look into our previous work : Our portfolio More

$252 USD in 5 days
(23 Reviews)

Hi, Please consider our bid for your project. You can read 90+ Clients Feedback referring to us to get a better idea of the Quality we deliver to our clients. Thanks, 2Swebsolutions

$263 USD in 5 days
(90 Reviews)

Dear sir/Madam, We are a team of developers and graphic designers who are in this field from more than 8 years. We have completed more than 100 wordpress websites. We have checked your project details which one posted More

$206 USD in 7 days
(23 Reviews)

Hi, Please find below few of our latest project: http://metodo.inf More

$277 USD in 7 days
(32 Reviews)