In Progress

Php Form - Html Email with only filled out Fields to be sent

For a local Bakery, we need a php Form listing about 60 baked goods. (Simple Order Form - no Checkout - no Client Validation)

Form Facts:

- The Form does have 2 required Fields - Name and Email (Javascript Form Validation - Jquery or similar)

- Form should be secured with ReCaptcha + if ReCaptcha fails Form Fields should NOT be resetted (Optional, but preferred)

- All Baked Goods Input Fields are optional, and only numbers are allowed

- On positive form submission the form should redirect on a Thank you Page (possibly with the User entered Data)

- Then the Form should send a Html Email to the Bakery, with ONLY the bakery goods filled out by the Client

- A seperate Html Email should be sent to the Client (same functionality as Bakery Mail, but with different Text)

- Optional, but nice to have: All submissions stored in database

As you can see, it is a simple Form, the only challenging part is that only filled out goods should get send in the Email.

In the Form all Goods, will be displayed with an Image, if possible, in the Email, all goods ordered should also have the image linked to.

Something like:

<?php if ($Rolls) : ?><div class="goods"><img src="remote_host/[url removed, login to view]"><span class="header">Rolls:</span><span class="count">$Rolls</span></div><?php endif>

Your Part:

You will need to provide us a sample Form, showing the Functionality above, but you do not have to create the whole Form, You only need to create a couple of "Bakery Goods".

We will extend the Form later to our Needs, but the Script needs to be completly provided by you with the above functionality.

Preferred:

Preferably we would like a standalone PHP Script.

If this is not possible, Form Frameworks from CMS could be used, but as they require the whole CMS to be installed this is not a preferred option.

We should certainly have the rights to redestribute this Form, and all Scripts should not be protected by Zend or similar, so we can make modifications to it if needed.

AGAIN:
The Design will be done by us, all we need is a working Php Script, with a simple Sample Form, wo we know how to use it, and modify it to our needs. All Functionality should be found in the Sample Form provided by you (Html Emails with only submitted Fields, Bakery Goods Images in Email, Captcha, ...)

Skills: HTML, PHP

See more: php email filled fields, filled fields will sent php, php email filled, this class jquery, thank you email, sample thank you email, php create html, name validation in javascript, jquery class, email header image, checkout page html, filled fields php, SENT, html mail, html email, form 2 email --2, email validation, bakery, baked, php javascript class, Form Fields, html mail form, php redirect page, validation script php, extend php

About the Employer:
( 13 reviews ) Gerlos, Austria

Project ID: #1226122

Awarded to:

davemartin

Hi, Ready to implement the requirement. I can do it. Regards Martin

$30 USD in 2 days
(10 Reviews)
3.6

17 freelancers are bidding on average $112 for this job

ntiersolutions

Please check your pm.

$90 USD in 2 days
(196 Reviews)
6.8
webzin

Hi Have Gone through your requirement and understood, we are very sure that we can do your needs with your entire satisfaction. We have left a PMB for you plz feel free to have a look over there. Thnx Ram Webzin I More

$150 USD in 3 days
(68 Reviews)
6.4
kernelbd

Please check pmb regarding bakery form. Thanks.

$130 USD in 1 day
(85 Reviews)
6.3
shihan033010

Hi this is a very easy project for me. Please accept the bid. i am ready to start the project.

$50 USD in 3 days
(227 Reviews)
6.3
webedict

HELLO SIR, READY TO START, I HAVE 3 YEARS OF EXPERIENCE IN PHP, MYSQL , AJAX, JAVASCRIPT, XHTML. THANKS !!

$40 USD in 3 days
(63 Reviews)
5.2
samkaranja

Ready for Service. Thanks

$90 USD in 1 day
(59 Reviews)
5.1
mmffrooq

Can we start it now ?

$90 USD in 2 days
(33 Reviews)
5.2
allroundexperts

View my pmb

$30 USD in 3 days
(59 Reviews)
5.1
vaithya

Hi, Zend Certified Engineer in PHP5 here. Rest in PMB. Thank you.

$150 USD in 3 days
(5 Reviews)
3.9
shambo100

Good to see this nice functionality requirement. Do you need the design also? by bid price includes basic design of the form (and may be also the html email that will be sent) waiting for your reply

$210 USD in 6 days
(3 Reviews)
3.9
itmyprofession

Hello, i am good at HTML, PHP, jQuery. i can do this job. Regards, Santosh Moktan

$70 USD in 3 days
(7 Reviews)
4.0
jeffmolish

HELLO SIR PLEASE CHECK PMB

$220 USD in 4 days
(0 Reviews)
0.0
tush1234

Hello, Glade to see your Requirement, I m expert in this kind of projects and i have completed lots of projects in PHP. I will serve you as you want. Looking for your positive response. With Best Regards. More

$200 USD in 4 days
(0 Reviews)
0.0
Flmarket

Please check your PM for samples!

$80 USD in 1 day
(0 Reviews)
0.0
easenComputing

Guten Tag, dieses Projekt ist absolut kein Problem. Wir (EASEN Computing®) haben bereits einige ähnliche Aufträge erledigt, haben also diesbezüglich wertvolle Erfahrungen gesammelt, und würden uns sehr glücklich More

$80 USD in 4 days
(0 Reviews)
0.0
tawade123

i am deepak tawade, i understand your project and i will able to complete it in few days.

$200 USD in 30 days
(0 Reviews)
0.0