Database, HTTP Post, Form Built

Budget $250 - $750 USD
Bids 18
Average Bid $362
Status Closed

I'm looking for someone to build out my long form for me.

[url removed, login to view] We have the basic page built out, I need the year, make, model associated to a database that you create. I have a large csv file with list of years, makes, and models that I'll need you to build out a database for so that the form can call back to that database.

I need the previous page edited and also a 2nd version of the page so I can split test what converts better. Currently the page has a static form for 2 Vehicles, but I need the 2nd fields for the vehicle removed and added ONLY when the user needs to add another vehicle to try and insure it. For example: [url removed, login to view] you can see the green button that is done by javascript, the user is allowed to add more fields when they click that button.

For the second page, version two I want the fields each section to appear as they complete each section. For example on this page [url removed, login to view] you'll see there are sections, Vehicles, Drivers, Additional Information, and Primary Driver Contact Information. I want only Vehicles to appear when they load the page as they fill out and complete all the fields for Vehicle, Drivers section will auto appear, as they complete Drivers section, Additional Information section will appear, so and so forth. An example of this is here: [url removed, login to view] click on give it a whirl and you can see the feature I'm talking about, however they are breaking it out with individual fields popping up, i need sections popping instead of individual fields.

Also for both pages I need all the data fields that are on this page to post out to a 3rd party database via XML or HTTP POST. HTTP POST will work good as it seems to be more compatible.

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Bids on this Project

  • tmawebsolut Profile Picture


    Morelia,  Mexico

    Profile: • 12 years of experience as a senior web application developer using technologies like PHP, ASP, AJAX • 6 years of experience working as a project leader on 2-3 programmers teams. Technical Skills Operative Systems Windows, Linux Web development PHP, ASP, AJAX Web design HTML5, CSS, Javascript Frameworks Zend, Smarty, JQuery Databases. MySQL, MS SQL, Access API Integration PayPal, USPS, FedEx, UPS, First Data, Dinero Mail, Facebook, Google Search, Google Maps Versioning Systems SVN, GIT Studies Bachelor in Computer Systems Engineering, Instituto Tecnologico de Morelia

  • rahulbhangale Profile Picture


    jalgaon,  India

    PHP consultant at Hummingbird Web Solutions , Pune. I belive in the implementing imaginations into the real world to satisfy the needs of the world.

  • shihan033010 Profile Picture


    Rajshahi,  Bangladesh

    Hi I am expert in web and mobile application development. I have been working here for the last 7 years with lot of clients. My objective is to satisfy client requirement with my work better than their expectation. Below are my expertise - Php & mysql - Android & Sqlite & Ormlite - jquery - html, css - bootstrap - json Framework - Laravel - Code Igniter - Wordpress - cakephp PDF Reporting using fpdf library Facebook app with graph api

  • getwebsolutionsl Profile Picture


    Ahmedabad,  India

    We are the web & mobile apps development company, providing services of web apps with Laravel, Codeigniter PHP/MySQL and Open Source Tech (Joomla, Wordpress, Drupal, Magento, Zencart), HTML5, jQuery and Mobile Apps (iPhone, iPad, Android Smartphone and Tablets), JSON, Web Service. Weblounge is not a one-man operation, We have a good-sized experienced staff of full time iPhone, Android, iPad, PHP/MySQL, Codeigniter, Laravel, Angular.js, Node.js, JSON, Web Service, Magento, Joomla, Wordpress, Drupal, PHP, , HTML5 programmers, flash developer and website designers. All our programmers have advanced degrees and qualifications. Anyone can call a meeting to discuss a challenging problem or idea on a moment's notice. Weblounge was found in September 2007. We have 50 employees in-house with all kind of expertise. Please check it out our portfolio and feedback to get more reference. Regards, Weblounge

  • Eliteprog Profile Picture


    CPH1,  Pakistan

    .net Windows Azure Php & MySql SqlServer DotnetNuke Content writing Graphics Designing

  • coolguyinus2004 Profile Picture


    Bangalore,  India

    11+ years of experience in programming PHP/MYSQL. I have done much programming and also bug fixing all these years. You can check my profile for my reputation and ranking .I dont do design work so you need to provide me design in html/css so i can integrate my coding into it. I know all kind of frameworks like codeignitor,joomla,drupal,symphony,wordpress,cakephp etc.. Price per hour charge will vary from 30$-50$ depends on the work to be done.

  • kannadasanbe Profile Picture


    Vellore,  India

    I am software architect with 10+ years of experience in .net,sql,javascript,jquery,html,xml, xslt,,,Phonegap,android,Jquery Mobile and facebook apps,google apps script,google calendar etc. I have developed many websites including, And i have developed two mobile websites. (Basic mobile website) (Specially designed for touch mobiles)

  • dukle Profile Picture


    Ohrid,  Macedonia

    Server side scripting plays an integral part of website development. My expertise in PHP combined with HTML, MySQL and Javascript will definitely help you to be satisfied in getting your project done.

  • Jeyes323 Profile Picture


    New Delhi,  India

    I am in India, New Delhi and Web designer & Coder. I have 6 years experience in website design using ajax,php,css, html,mysql,jquery and Wordpress,Joomla frameworks. Wisdom from the past. Solution for the F-U-T-U-R-E!

  • rajeshsonisl Profile Picture


    Mumbai,  India

    Hello, Thank you for dropping by. =============== Why choose me? =============== I ... ...have a total programming experience of over 17 years (including 9 years in PHP - MySQL). ...take pride of my 5.0 / 5.0 rating, 98 - 99% completion rate, 100% on-time completion. alone, and strictly bite only what I can chew! No sub-contracting, ever! ...use most instant messengers for speedy communication, and always backup files that I change. ...provide daily progress reports / updates via Skype (Google Talk, Freelancer or email), whatever YOU prefer. When it comes to automation, I make it a point to apply automation techniques wherever applicable. I believe in working the smart way; that makes me work smart, and not hard! Started programming in the year 1997, and still trying to maintain the rating, from almost 900+ on-record projects! Thank you for reading. Have a good one :-)