In Progress

Submit Form

I need a submit form adding to my website.

The form will need to have validation and captcha added into the page. When people submit the form they need to go to a page that says "Thank You for submitting your company details we will contact you within 24 hours."

You need to integrate this page into my website page. So you must also be familiar with HTML and CSS.

I will answer any questions before you bid. PLEASE PLEASE make sure that you can do the job before you enter a bid.


Form content

Name *

Tel No *

Email *

Company Name *

Company No *

VAT No *


I confirm that the Company details submitted meet the following requirements

• Your company must be a UK Ltd company - no sole trader businesses, no LLPs etc

• Your company must be inactive - there must be no ongoing supplier/customer contracts or other obligations. This includes mobile phone contracts, leasing and rental agreements etc. This also includes obligations from client contracts.

• Must have UK VAT registration number

• No assets, no cash in bank

• No debts

• No county court judgements (CCJs)

• Nothing outstanding with HMRC

(the above should be tick boxes)



My price for this job is $25

Thats it so happy bidding.

Skills: HTML, Javascript, PHP

See more: thank you notes, name validation in javascript, email bank details, c# submit, job contracts, leasing, form css, email submit, court, html assets, php registration form css, php customer form, phone number validation php, css contact form validation, integrate supplier, form contact php css, client form, captcha name, form validation css php, captcha validation, mobile form, contact form html css php validation, php html contact form validation, html php registration form, registration form css javascript php

About the Employer:
( 21 reviews ) London, United Kingdom

Project ID: #700055

Awarded to:


Ready to start now. Thanks.

$30 USD in 0 days
(85 Reviews)

13 freelancers are bidding on average $43 for this job


Pls Check Inbox.

$30 USD in 1 day
(119 Reviews)

Hello Provider, I have read everything carefully. I could understand the requirements. I can do it with validation, Captcha. Already I have completed similar type work. Please view my PM for more details.Thanks.

$30 USD in 1 day
(84 Reviews)

Hi, kindly check PMB. Thanks.

$30 USD in 1 day
(117 Reviews)

Hi I'm interested to do the job. I can assure you that I can deliver with quality and in timely manner. please contact with me for further query. I can provide you high security And Nice Looking And sort loading valida More

$30 USD in 0 days
(59 Reviews)

Hi, We can do it fast and [url removed, login to view] see PMB for details, Thanks

$30 USD in 1 day
(41 Reviews)

Please check PM

$30 USD in 1 day
(14 Reviews)

Hello, please, check pmb

$30 USD in 1 day
(11 Reviews)

hi, I can do it for you professionally . i am ready for immediate [url removed, login to view] payment after your complete satisfaction. br

$30 USD in 1 day
(4 Reviews)

Please see pmb for more [url removed, login to view]

$30 USD in 1 day
(3 Reviews)

Dear sir, Please read private message, thank you SuryaVishnu

$30 USD in 0 days
(5 Reviews)

please see this url [url removed, login to view] [url removed, login to view] [url removed, login to view] [url removed, login to view] [url removed, login to view] [url removed, login to view] I have a experience empolyee in our team in php,java,,joomla,.net,drupal,a More

$150 USD in 5 days
(1 Review)

Hi, it's a very simple work...we can fix the integration issue if you consider us to would be great experience to work with you.. happy working with you...looking forward. Thanks, Noeticsoft

$80 USD in 3 days
(0 Reviews)