Custom Design Work Request Form


We are looking to develop an application in multiple phases:

Phase I (this project): Build a custom request form that will allow a user to enter information, upload photos and submit for review

Phase II (future project): Develop a mobile application for iOS that offers the same functionality on an iPhone

Phase III (future project): Build out shopping cart functionality that will allow users to process payments after defining the details of their project

The requirements for Phase I are:

1. User hits entry page (subpage of domain that is already owned)

a. Page includes sample images and introductory text

2. User clicks "create new card" button

a. Choose size (radio button)

1. Option 1: 4x6

2. Option 2: 5.5x8.5

b. Choose Qty

1. Enter number (validate number only field, no decimals)

c. Choose Finish (radio button)

1. Option 1: Glossy

2. Option 2: Flat

d. Choose Template (dropdown list)

1. This list will be filtered based on the selected size (above)

2. When a value is selected from the list, a preview image will be displayed

3. Alternatively, the available template images could be displayed in a grid format with a radio button below each.

e. Enter Address

1. Street (appears on card)

2. City (information only)

3. State (information only)

4. Zip (information only)

f. Upload listing photo

1. Browse/Upload function

g. Enter Agent Information

1. First Name (Display on card: Yes/No Radio Button)

2. Last Name (Display on card: Yes/No Radio Button)

3. Email Address (Display on card: Yes/No Radio Button)

4. Website (Display on card: Yes/No Radio Button)

5. Phone Number (Office) (Display on card: Yes/No Radio Button)

6. Phone Number (Cell) (Display on card: Yes/No Radio Button)

h. Upload bio photo

1. Browse/Upload Function

3. User clicks "next"

4. Return a "Review and approve details" page

5. User clicks "Submit for Processing"

6. Return a page stating "Thank you for your submission. We will be in touch within 24 hours to confirm the price and delivery timeline for your custom cards." Also display a link to "Terms and Conditions" which will open in a new window and display text.

Additional details:

1. Site must be tested in all common browsers

2. Site must be optimized for SEO and include keywords and metadata

3. Site must allow for the addition of template (either via cms or through a user friend database modification process)

4. Design will be provided and developer must code external css to match design

5. SQL or MySQL database to receive submissions will be required

6. Front end and database will be hosted at [url removed, login to view]

7. Email notifications are required to confirm when new submissions are received. Summary of submission should be included in email body

8. Wordpress is not desirable and we would like to avoid this platform given the many security vulnerabilities

9. Ideal turnaround time is 7 days or less from the time of project acceptance

10. The basic site structure and design are already complete and live - this is merely an addition to the existing, static HTML site

Skills: Database Administration, HTML, MySQL, PHP, Website Design

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Project ID: #4171221

9 freelancers are bidding on average $246 for this job


Hi, Experts team of SEO/Wordpress/PHP/joomla/Drupal developers and designers. Please check PM for detail. Thanks, Gaurav

$500 USD in 15 days
(104 Reviews)

*******Dear Sir, We are experts with similar expertise to your project requirement. We are very much interested & eager to provide professional and quality service for you. Please check private message to discuss furth More

$215 USD in 8 days
(45 Reviews)

I'm very happy to work this for you.

$150 USD in 2 days
(95 Reviews)

FIRST let us WORK on your project THEN pay us. If you don't like the WORK, you don't have to pay a single penny. Please check PMB for further details.

$251 USD in 7 days
(47 Reviews)

Good Evening. Our professional team has experience in doing what you need. We will really love to do this nice work for you delivering a high quality work. For samples of previous works please visit http://www.expresow More

$250 USD in 5 days
(36 Reviews)

Hi, Kindly Check PMB

$250 USD in 4 days
(18 Reviews)

Hello, We understand your requirement and we have experience to do this type of work. We assure you that we complete your product on time with quality. Please check your Private Message Box for more details. Thank y More

$225 USD in 6 days
(13 Reviews)

I can do this form Phase I in PHP/MySQl Please award, lets begin

$150 USD in 3 days
(9 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 you. We shall finish this project in timely manner More

$250 USD in 10 days
(9 Reviews)

An ISO 9001:2006 certified company, We can fulfill your requirement because we are professional worker, we work for our client satisfaction. for more detail please check private message board. Thanks.

$200 USD in 5 days
(2 Reviews)