Html form output to merge into html template

Budget $250 - $750 USD
Bids 4
Average Bid $250

NOTE.: Some freelancers bid very low, many are novice. Bid what you feel your skills are worth. The work will go to the more skilled freelancer, not necessarily the lowest bid.

Write a form's code in html, so that upon output data is merged into pro forms html templates.

Details and a working example of what is needed is at one of my sites, start here - [url removed, login to view] at [url removed, login to view] in /folder formsBH --- that is:- [url removed, login to view] Please do NOT contact me via that site, only reply via this site - I will not deal with anyone directly.

This work is quite simple for anyone conversant with html, php and pearl type scripts. I have had such forms written before, and I guess the work is 2 hours - too 4 hours.

There will certainly be follow up work over the next three (3) months to improve the form as I start to use it, such as, e.g. make merged html template data output link to a word-press input form, automatically on click button by a form box lodge words inside box with google maps, take the url from the google maps result, encode the words with that url, so that a box can be clicked and the google maps code appears, which replaces a manual step. However, for the moment, only quote for thew basic work via [url removed, login to view], but you must be willing to do 10 - 20 hours more work over a few months as needed - price to be agreed.

Any questions, feel free to ask.

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Bids on this Project

  • Kanyal Profile Picture


    Lahore,  Pakistan

    I am self motivated individual, have around 7 year diverse experience of coding and managing projects mostly in iOS apps and games, Flash AS3 , PHP and its frameworks (CodeIgniter, Cake PHP, Laravel), Web Services (REST & SOAP), Amazon Web Services (EC2, S3, RDS, RedShift, EMR), Social media APIs (facebook, Twitter, Linkedin, FourSquare, Instagram), Microsoft .Net C# &, Jquery, Angular Js, Bootstrap. Independent of technology and platform, ready to learn and work in any framework of programming languages.

    PHP, Adobe Flash, Website Design, and Internet Marketing

  • e44x77 Profile Picture


    Tallahasse,  United States

    PHP, Perl, C Programming, and Python

  • rajawi9999 Profile Picture


    casablanca,  Morocco

    My name is abdelfettah, I'm an engineer with a strong background in programming, including web development. mobile apps , desktop softwars and graphic design. I chose the title rajawi cause I love raja casablanca, that's all.... -------------- I NEVER BID FOR A PROJECT THAT I CANT DO -------------- For 8 years I’ve worked as a freelancer and so I am accustomed to working with all sorts of projects and served clients from many countries around the world with different cultures, religions and languages... I highly value professionalism and I aim to form a long-term working relationship with my client. just try me please

    PHP, C Programming, Javascript, and Website Design

  • giux Profile Picture


    Bogota,  Colombia

    im a web programer, i have my own company, i develop a lot of websites and web systems for many companies in latam, and europe and USA

    Javascript, Website Design, AJAX, and iPhone