Replicating Form

Budget $30 - $250 USD
Bids 11
Average Bid $175

I want you to change a form like this ([url removed, login to view])
to this ([url removed, login to view], [url removed, login to view])

The normal process of this is :-
Visitor fills out form (hosted on advertisers website) > Details of the form is sent to the advertisers database

The difference between a normal form & the one I want you to change is :-
Visitor fills out form (hosted on publishers website) > Request to fill out another form > Details of the form is sent to the advertisers database

Main difference here is
1. Form is hosted on publishers website not advertisers
2. Request to fill out another form after Step 1

Send me a PM if you need more information on this.

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Bids on this Project

  • JKTQ6g12v Profile Picture


    Adana,  Turkey


    PHP, C Programming, Java, and Javascript

  • pixecs Profile Picture


    Piatra Neamt,  Romania

    C/C++/PHP programmer and Web developer Zend Certified Engineer PHP 5.3 from 2013

    PHP, C Programming, Java, and Javascript

  • Churaliya Profile Picture


    Kalutara,  Sri Lanka

    I am an experienced and skilful web application developer looking to expand my skill set by sinking my teeth into new projects. I have many years experience working in developing websites and management systems for various businesses. Having a solid foundation in the areas of PHP , MySQL and HTML will bring a good understanding of web technologies to the picture. My main priority is customer satisfaction and subsequently I always endeavor to produce what my customers have envisioned. I can provide a better and quick service for you with a great quality than you expect.

    PHP, Javascript, Website Design, and Graphic Design

  • Ajcm623 Profile Picture


    Delhi,  India

    Web and Mobile Experts Specialize in Wordpress and Javascript.

    PHP, Javascript, XML, and .NET

  • praveen458 Profile Picture


    bangalore,  India

    computer programmer

    PHP, Javascript, XML, and Website Design

  • PhpYouth Profile Picture


    Faridabad,  India

    PHPYOUTH!! Your One Stop Web Solution! PhpYouth is a team of young Web Developers and Designers and we have Expertise in designing modern looking websites and web applications. OUR EXPERTISE INCLUDES:- CONTENT MANAGEMENT SYTEMS:- 1. WORDPRESS 2. MAGENTO 3. SHOPIFY WEB APPLICATIONS DEVELOPMENT:- 1. PHP AND MYSQL GRAPHICS DESIGN:- 1. LOGO DESIGN 2. BANNER DESIGN 3. BROCHURES DESIGN 4. FLYERS DESIGN 5. POSTER DESIGN 6. EBOOK DESIGN MOBILE APPLICATIONS DEVELOPMENT:- 1. IOS APPLICATIONS DEVELOPMENT 2. ANDROID APPLICATION DEVELOPMENT INTERNET MARKETING:- 1. SEARCH ENGINE OPTIMIZATION 2. SOCIAL MEDIA MARKETING 3. GOOGLE ADSENSE If you are looking to hire someone to work on your Projects then you are at the right place. We have more than 5 years of experience in Web Development and we have developed more than 200 websites.

    PHP, Javascript, Adobe Flash, and Website Design

  • TheInnoVibes Profile Picture


    LUCKNOW,  India

    I am an e-product coach & Director, TIV Labs IT Company , if you need any assistance on your next e-product project feel free and let me know.

    PHP, Javascript, XML, and Adobe Flash

  • AlinGhinoiu Profile Picture


    Bucharest,  Romania

    Hello ! My name is Alin and I am a freelance programmer and web developer from Europe, Romania.I've been working as a web developer for the past 8 years and worked with numerous clients globally. I am currently specialized in the following fields: HTML5, CSS3, Javascript, jQuery, PHP, MySQL, XML. Providing full range of web solutions including: - Website Design, UX UI - Custom Website Development - E-commerce: Wordpress, Magento, Opencart, Shopify, Prestashop - Bootstrap - Social Media: Fan pages, Ads and more - SEO: On-Page and Off-Page - Google Analytics / Google AdWords / Webmaster - Photoshop - Email Design and Marketing - Logo design - Graphic Design I recently started working again on Freelancer after a 2 years break which I needed to start my own company. I am back now with a lot more experience. In summary, I work on anything related to web development that will let me learn and grow, as well as anything that may cause headaches for you, and I’ll do it with a smile.

    PHP, ASP, Javascript, and XML

  • robsonfgjunior Profile Picture


    Lisbon,  Portugal

    Hey there, I'm Robson and I'm a passionate Web Developer, born in Brazil but raised in Portugal where I met with my beautiful wife Sara. I develop all kinds of online user interfaces and web applications, being WordPress, and php my expertise. I love HTML 5 and all web standards. Currently work at Excentric, one of the best digital agencies in Portugal. I also love traveling and have been to a lot of places, like Brasil (my birth country), Portugal, Spain, France, Israel, Netherlands, etc. Christian since I can remember, and owe to God everything that I have. I'm a very friendly guy. Get in touch if you want to hire me for some freelance work, or just say hello.

    PHP, Javascript, XML, and Python

  • scriptphp87 Profile Picture


    Can Tho,  Vietnam

    We are one of the companies specializing in open source in Vietnam. For us, Client is the first priority and we always try to provide source code for Client best. Our Experience: + We have many experience developemt: Wordpress, Opencart, magento, bitcoin, WHMCS, CSCart, ZenCart, OSClass, ELG.... Service Guarantee: + We are alway guarantee our service is the best and you can see my review Payment terms: + You create 50% after selected me as a winner and release it after i showed you the first demo. + You create the rest funds, and release and review it after we finished the project. Support: After we finished the project, if you found any bugs, then i still fix them for you freely

    PHP, ASP, C Programming, and Javascript