Build a Javascript Form


Need a javascript version of this form: [url removed, login to view]

Form details are exactly the same but need to be more intuitive, e.g. details are copied across to the fields when relevant.

The end result is similar to this format: [url removed, login to view]

All the responses are sent:

- via email to the business owner

- via email as a confirmation to the customer

- name and email address details are automatically entered into Constant Contact

Skills: Javascript, MySQL, PHP, Software Architecture, Software Testing

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Project ID: #5090702

18 freelancers are bidding on average $173 for this job


Hi! My name is Denis. I'm russian php developer. The project details are clean and I'm ready clone this form and make it working using php. This will be an interesting work I think. Ready start working immediately. Den More

$178 AUD in 4 days
(151 Reviews)

Hello Sir, we can create this form by today itseld. Please check our profile for work experience. Regards Ashwin

$154 AUD in 1 day
(216 Reviews)

Hello, With 99% completion rate, 650+ successfully completed projects, and a 5.00 reputation (maximum possible, 5.0) (Yes, not even 4.99 !!)... you can never go wrong choosing me :) I look forward to your reply. More

$360 AUD in 2 days
(491 Reviews)

What platform/CMS is your site is built with? Could i have a look at your site? I'm interested in this job.

$200 AUD in 4 days
(66 Reviews)

I've read your requirement and I'm interested in your job. With over 5 years experience in Web development, I'm confident to complete it perfectly. I am ready to discuss and perform your job. Hope to get your message More

$142 AUD in 4 days
(57 Reviews)

Hello, I'm ready when you are, I might need more informations about the quote and the emails text. you can check my feedbacks to know how good and fast I work. Regards, MB.

$155 AUD in 3 days
(28 Reviews)

Hello susanzheng, I have gone through your outsourced requirement "Build a Javascript Form" and have analyzed that I have right credentials (Javascript, MySQL, PHP, Software Architecture, Software Testing) to execu More

$180 AUD in 3 days
(48 Reviews)

Thanks for posting the project on Freelancer, the project requirements completely falls under our domain and where this project exactly matches with our technical strengths and our abilities to deliver the work on time More

$144 AUD in 8 days
(12 Reviews)

Hello, I have 8 years experience in PHP/MySQL web application development. For javaScript, I have been using the jQuery library since 5 years. I would like to know what Constant Contact refers to. Thank you for ha More

$150 AUD in 3 days
(5 Reviews)

hi susan i am professional Freelancer from Portugal, i am ready to help you in this task. I am able to recreate your form to a good look javascript/jquery form. Regards, Wilson Pinto

$140 AUD in 15 days
(17 Reviews)

GREETINGS OF THE DAY We would really like to work on this venture as it suits with our abilities set (HTML5, CSS 3, core php, jQuery) and the development(s) we have done in the last. We would appreciate if you could c More

$111 AUD in 2 days
(10 Reviews)

Hello, I am an honest professional freelancer and I get the job done. If you are interested in my bid I would like to have more information. Looking forward to work with you!

$200 AUD in 4 days
(8 Reviews)

Hi Susan, Hope you are doing well, I have gone through the form that you have referenced for your JOB. I assure quality work with in timeframe. and believe myself to be a strong fit as I have significant experien More

$200 AUD in 1 day
(2 Reviews)

Hello sir, We read your project requirement and we can do it. we will provide you more better design also. so please sir give us a chance to work with you. thank you.

$200 AUD in 5 days
(1 Review)

Hello susanzheng, I have 3 years of experience in web designing field. Your work is very simple and I have given you the best possible price. Only thing i can say is you will not be disappointed with my work. Do not pa More

$77 AUD in 4 days
(1 Review)

hi mycompany is work for last 4 year . i have compelte 50+ Projectin . i have much experience. my portfolio More

$222 AUD in 7 days
(1 Review)

hello, i could do it, i'm expert back-end and front-end developer all of you need, also i could create dynamic form designer if you want that make you able to change form field add/remove or edit some filed type for fu More

$200 AUD in 5 days
(0 Reviews)

Sir I have more than 3 years experience in php,javascript. I Think I can do your job perfectly within time.So, I am waiting for your further response

$111 AUD in 2 days
(0 Reviews)

Ainda não foi fornecida uma proposta

$155 AUD in 3 days
(0 Reviews)

Hello, I'm Jacob, I'm currently a student in my final year at University of Technology Sydney (UTS). I have completed many similar tasks in the past, and have the javascript skills to deliver on your project. I can More

$200 AUD in 4 days
(0 Reviews)