Create a quick landing page (form submit)

In Progress

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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About the Employer:
( 378 reviews ) San Diego, United States

Project ID: #4409703

Awarded to:


Hello, check you pmb.

$60 USD in 0 days
(1 Review)

Hello.. I would like to take an opportunity to work with you. I ensure that i will complete the form today. Looking forward to work with you today. Best Regards, Vinay.

$95 USD in 1 day
(40 Reviews)

Hi There, i can get this done for you. Please see my portfolio in your PMB. Many Thanks.

$50 USD in 1 day
(1 Review)

9 freelancers are bidding on average $86 for this job


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

$100 USD in 3 days
(159 Reviews)

Thank you for taking time to review our bid. We are certain that we will provide the full suite of integrated solutions required by your company.We have reviewed the project requirements, the requirements match our ski More

$103 USD in 3 days
(92 Reviews)

"EXPERTS IN DESIGNING LANDING PAGES / SQUEEZE PAGES"..have successfully completed many similar projects..ready to create an unique submit form landing page similar to your given link..ready to start..plz send us the de More

$100 USD in 3 days
(27 Reviews)

We have more than 11 year of experience and working in new technology with MVC architect for more detail Please check Private Message.

$98 USD in 2 days
(10 Reviews)

Hello, Please check the PMB for more details. Thanks

$80 USD in 1 day
(0 Reviews)

Hi is a pleasure can place a bid in your project please take a look in our portfolio and if you like our style talk with us by PM

$88 USD in 4 days
(0 Reviews)