Form needs Client/Servier side validation for a Jquery mobile website

This project was awarded to usacyborg for $60 USD.

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Project Budget
$30 - $250 USD
Total Bids
Project Description


I have created a mobile website in Jquery mobile for a client that is a D.J. They need a booking request form so people can fill out this form to request their services.

I have already created the the form in HTML5 but that's all I know how to do when it comes to creating forms!

Here is what I need from you:

1. I would like you to double check my form that I created and make sure it's all good for you to work with first. If you need to make any changes, I will pay you extra of course, just let me know.

2. I need someone to make this form all work together complete with with client/server side validation in Javascript and PHP.

Once the form is submitted, I it will go to an email address.

3. I would like a "Thank you for contacting us. Your message has been sent." to appear if the form was submitted properly.

Here is what the form includes:

Fields marked with * are mandatory. (Everything besides the cell phone is mandatory)



-Cell Phone


-Date of Event*

-Location of Event: City, State*


-Number of Guests*

-Hours of Services Needed*

-How did you hear about us? *

-Comments/ Requests*

**** This form also has the following check boxes for potential clients to let him know their needs for the event: They are as follows but not required *********

Please select the services you may require at your event:

Disc Jockey (DJ)

Stationary Baraat System

Big Screen Projections 7ft to 10ft

Master of Ceremonies (MC)

Baraat Dancers

Plasmas 42 to 50 inches

Video Disc Jockey

Shehnai, Tabla, and Sitar Players

LED Up Lighting

Event Coordination

Dancers / Performers

Intelligent Moving Heads / Lighting

Dhol Players

Singers and Bands

Custom Monogram / Logo

Baraat Mobile Sound System

Karaoke Systems

Pin Spots


I hope I have explained it well what I need for this job. Any questions please feel free to ask! Happy New Year !

Thank you

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