FORM DESIGN - FOR WEBSITE

In Progress

We require a PHP form with an email to admin feature similar to that of the functionality of the registration form located on [url removed, login to view] and we need to add and incorporate an SSL layer to the website with this form.

Requirements

1) Form must have an email to admin feature.

2) Form must have backoffice feature for admin to view registrations.

3) Form must use our SSL certificate.

4) Form must provide fields to collect personal data, billing data, and data collection from our 3 services (Credit Repair, Shelf Corporations, and Corporate Tax Prep).

Good luck bidding.

Skills: PHP, Software Architecture

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About the Employer:
( 4 reviews ) Beverly Hills, United States

Project ID: #1548158

Awarded to:

arijit81

Based on our expertise and long term experience, I can guarantee an extraordinary result in less than anticipating time.

$90 USD in 2 days
(191 Reviews)
7.5

13 freelancers are bidding on average $101 for this job

zeee

Please see PMB.

$150 USD in 3 days
(169 Reviews)
7.8
updated6188

Ready to make it happen. More than 7 years experience in web design and development. Quality product will be delivered.

$180 USD in 4 days
(70 Reviews)
7.2
ExcellenceonPHP

CHECK THE REFERENCE SITE.. AD READY TO START.I HAVE EXP OVER 6 YEARS ON PHP,MYSQL,JS,AJAX,XHTML.CHECK PMB FOR MORE.THANKS

$120 USD in 2 days
(130 Reviews)
6.6
csumit

Hi, I've read your requirements and I'm confident about completing the task within the given budget and timeline. Please check your PM for more details. Thanks. :)

$59 USD in 5 days
(22 Reviews)
5.8
PauloSam

Hello Sir. I`m ready Thanks.

$100 USD in 1 day
(44 Reviews)
5.4
santoshsinh

I am ready to create the form as you described.

$30 USD in 0 days
(20 Reviews)
4.4
bogstench

Greetings! I can make any kind of form you need, with many extras plus a fully equipped back-end. Further details in PM.

$150 USD in 7 days
(4 Reviews)
4.1
simonbounford

I have years of experience with HTML/PHP & MySQL so can do this no problem, ready to start straight away. PM me if you want examples. Thanks

$80 USD in 2 days
(8 Reviews)
3.8
prowriter23

Would love to work on this!

$130 USD in 2 days
(1 Review)
1.4
sankd2488

I have more than 1year of experience in php.And have handled more than 5 to 6 similar projects.

$100 USD in 10 days
(0 Reviews)
0.0
atiqmumtaz2014

Hi, sir i am a professional web developer, developing website more than 1 year. I am new at freelancer. Let's discuss your project on skype. My skype id is "atiqmumtaz2014"

$30 USD in 1 day
(0 Reviews)
0.0
abhisheksql

we have talented resources working on required technology since last 4 years, our efficiency of work is 100%, please try once.

$100 USD in 2 days
(0 Reviews)
0.0