Create a quick landing page (form submit) - repost


We would like you to create a submit form modeling [url removed, login to view]|iv_net=g|iv_mt=e|iv_tar=|iv_cr=19963136827|iv_pos=1s1|iv_p=1|iv_ag=294135151&utm_search_term=iv_kw=debt%20relief|iv_pl=&utm_campaign=bills+goL2&utm_term=debt%20relief&match_type=e&gclid=CKuR8raIu7YCFSdgMgod11wAmQ#step1

and place on [url removed, login to view] in /debt/ directory and on a 2nd domain we have.

We'll remove the months delinquent from the steps in the form. The form will submit to our database (for which we already have code that you can use as an example in [url removed, login to view] .

Please confirm that you can start right now and finish today and 2-3 urls of similar forms that you've done.

Thank you!

Skills: Graphic Design, HTML, PHP, Website Design

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Project ID: #4467086

Awarded to:


I am a javascript and php programmer.I can do this job,please look at my message thanks,praveen

$55 USD in 2 days
(31 Reviews)

11 freelancers are bidding on average $88 for this job


Greetings for the day....! I am ready to work on this project.... i am very good in web designing , logo designing , graphic design and also good in open source like wordpress , magento , joomla.... i am in this field More

$103 USD in 3 days
(508 Reviews)

Hi, Have Gone through your details. We have left a PMB for you plz have a look over there. Thnx Jay JS Infoway Team

$98 USD in 3 days
(170 Reviews)

Can start right now for you. Plz check personal message for url. Regards PHPYOUTH

$66 USD in 3 days
(69 Reviews)

Hi, We are a team of designers and developers who are in this field from more than 13 years. We are a web design and Development Company, providing web development in PHP, CMS based websites, E-commerce website, WordPr More

$92 USD in 3 days
(54 Reviews)

Hi there, Let's get this done, I'm ready, thanks.

$88 USD in 1 day
(99 Reviews)

I am BEST LANDING PAGE DESIGNER AT INTERNET. More then 5000 landing page Design experience. Please check my designed landing page and I will give you quality work on time. Regards

$98 USD in 7 days
(26 Reviews)

Thanks for the project opportunity. I would very much happy to place my bid on your project and I think all your requirement meets with my skill and expertise level. First I would like to introduce myself as a professi More

$88 USD in 3 days
(20 Reviews)

Hello, We experts in web design and development working form 5year. we have good professional experienced team of 25 member which have expert in Word press , Landing Page , FBML, Joomla, Weebly, Unbounce, Magento , Aw More

$103 USD in 3 days
(4 Reviews)

Hello Sir, I have done this kind of job recently. Please check your PMB for more details. Thanks

$77 USD in 3 days
(6 Reviews)

Hi, we have read all the requirements and we are very confident to do this project from start till end. We definitely have some questions when we discuss project with u. We shall finish this project in timely manner More

$103 USD in 3 days
(9 Reviews)