Custom Web Form

This project received 16 bids from talented freelancers with an average bid price of $123 USD.

Get free quotes for a project like this
Employer working
Skills Required
Project Budget
$30 - $250 USD
Total Bids
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.

Looking to make some money?

  • Set your budget and the timeframe
  • Outline your proposal
  • Get paid for your work

Hire Freelancers who also bid on this project

    • Forbes
    • The New York Times
    • Time
    • Wall Street Journal
    • Times Online