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Need a php page with a form - repost

Hello freelancers,

I need a webpage like this [url removed, login to view] , use any design that you want, but it should look nice and should be relevant to [url removed, login to view] , for which I need this page.

The form and everything else will remain same, I mean the option that it has. You can change the layout as you like it, but it should be classy in looks.

I need this in PHP and mySQL. Please note that, this website ([url removed, login to view]) is made in prestashop, and you will have to work accordingly with the form.

I will give you the access to the database. Also, please verify the database structure before starting, as it might be the case that we have to insert the values from this form to multiple tables, that you will have to check out in the database structure.

Please mention "Apple" as the first word of your proposal, so that I can be sure that you have read this description very well.

I can provide the design as well, but I would prefer that you come up with some designs or templates.

Only the persons with relevant skills should apply, else I will reject your bid.

All the best..

Thanks

Varun

Skills: Graphic Design, MySQL, PHP, Prestashop, Website Design

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About the Employer:
( 27 reviews ) Kanpur, India

Project ID: #4628564

12 freelancers are bidding on average $74 for this job

techwelfare

Hi we checked your requirement,We could develop as per your need. u could check that out. we would work till your satisfaction. Thanks & Regards Techwelfare Please check inbox for our previous work.

$89 USD in 3 days
(52 Reviews)
6.2
on2it

Kia ora! [url removed, login to view] are a NZ based web and software design company who have seen you here on the freelance market and are really excited about working with you and treating you to the full service, professional ex More

$412 USD in 21 days
(5 Reviews)
4.8
comvalwebs

Hi! I sincerely read your requirements and I am ready to endow with the solution as per your requirements. I can assure you that I will provide you high level of satisfaction and support to gain your confidence. Thanks More

$30 USD in 3 days
(19 Reviews)
4.4
seomaster212

Hi sir i am ready for work kindly check pm.

$60 USD in 3 days
(18 Reviews)
4.1
KIS

We can do this.

$30 USD in 3 days
(1 Review)
2.6
lmhshohag4

Apple....hello sir, i wanna do this job,please reply me

$50 USD in 3 days
(0 Reviews)
0.0
IsmailZD

Apple..... Hey Dude, I can work on your project ? Seems to be straight forward and easy to handle :).

$45 USD in 3 days
(0 Reviews)
0.0
nehilor

I'm ready to start!

$35 USD in 3 days
(0 Reviews)
0.0
udaypatelmca

Apple, Simple job, i can do this job including html5 validations, server side validations, sqlinjections prevented code, so more. please give me a [url removed, login to view] my message.

$30 USD in 2 days
(0 Reviews)
0.0
Turkk

Apple, I need some pocket change, but I'm willing to work for small change. I'll fix up a nice form page and even make some recommendations for changes to your site. I'm very picky on security and design. This will be More

$30 USD in 2 days
(0 Reviews)
0.0
tanseercena

Apple , we have read your project descriptions and like to work on your project.

$35 USD in 3 days
(0 Reviews)
0.0
submit2world

Not a problem lets do it

$30 USD in 2 days
(0 Reviews)
0.0
MrDevelopper

Expert Prestashop and Module customisation

$50 USD in 1 day
(0 Reviews)
0.0