Custom Web Form

  • Status Closed
  • Budget $30 - $250 USD
  • Total Bids 16

Project Description

I require a multi-page form utilizing PHP, Java, MySQL and Ajax. The form is required to have the following elements...

- Form

- Must be secure and transmit submission over https

- All form functions must be handled via php, jquery & ajax

- Multiple File Upload

- The ability to limit file size

- The ability to set file types

- The ability for the user to add additional upload fields via ajax

- Form Pages

- The form will have multipages.

- The form will have a Progress Bar based on page completion

- The forms "Next" button will be disabled until all fields are vaildated

- Form Fields

- ALL Field types must be able to be styled via css

- Fields must be able to have a tooltip

- Fields must highlight when active

- Fields must include inline validation

- Fields may show/hide additional fields based on selections

- Form Summary Requirements

- The form must produce a confirmation page with summary details prior to being submitted.

- The form must allow the user to edit the form contents from the summary page.

- The form must utilize captcha in order to submit.

- Form Submission

- After submission the user will be re-directed to one of several completion pages.

- The "Completion Pages" URL's must be under admin control as they may change.

- The "Completion Page" redirect will be based upon selections the user made in the form.

- Form Results

- Must be sent to multiple email addresses set be admin

- Must give user option of having a copy of the email forwarded to themselves.

I will provde files with form element details.

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