PHP Form - Open House Sign In

Budget $250 - $750 USD
Bids 21
Average Bid $554

I need someone to design and create a PHP web form that is designed for multiple real estate agents to capture open house attendees information.



-Sophisticated "Setup Page" - this page is where each individual user will enter their Name and E-mail address (in which all responses will be sent) ***Note: This will not be a static e-mail address

-Design - Look and Feel should be very friendly and easy to use

-Optimization - We will need this web form to be optimized to fit both iPhone and iPad platforms

I am very open to discussion of any suggestions that may improve this form.

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  • iwavetech Profile Picture


    Kochi,  India

    ASP, Javascript, XML, and Website Design

  • katlyn333 Profile Picture


    Red Deer,  United States

    I am a web developer and designer. I can provide services for front end or back end website development. My areas of expertise are listed below as well as the services that I provide. I focus very strongly on communicating with my clients and ensuring that they receive exactly what they have requested. I can be contacted at any time if there are questions concerning a current or future project. Expertise - PHP - CakePHP - MySQL - SQL - HTML - CSS - Javascript - XML - XPath - XQuery - Google Maps API - Twitter API Services - Website Design - Database Development - Editing in any of the languages listed above

    PHP, Java, Javascript, and XML

  • jeffinfotech8 Profile Picture


    antwerp,  India

    PHP, C Programming, Java, and Javascript

  • picotrain Profile Picture


    Stellenbosch,  South Africa

    Working hard to satisfy my customers. Canadian ex-pat now living in South Africa providing quality development and support to my clients on budget and on time.

    Javascript, Data Entry, AJAX, and Photoshop

  • kraftic Profile Picture


    Ventura,  India

    Kraftic is a leading Mobile Software Development company based in California which delivers premium quality services to the clients by implementing creative ideas with latest technologies and constantly eager to meet all the needs of the clients. We have highly experienced and qualified team of engineers providing customers with quality programming solutions and Mobile Apps for most popular mobile platforms. We follow the highest standards in the industry for engineering process, product quality, delivery and support. Within years of its existence, Kraftic has gained exceptional experience in Mobile Application Development, Web Development, Enterprise Mobility, Infrastructure management and other business sectors in enterprise market.

    Mobile Phone, iPhone, Android, and Windows Mobile

  • toinnisfree Profile Picture


    IKOTA LEKKI AJAH,  Nigeria

    I am a fulltime freelance programmmer with over 10 years programming experience. An expert in PHP / MYSQL / Javascript / AJAX / XML deployments. I particularly specialize in shopping carts and API integrations: payment, shipping, inventory, autoresponders and the like: Interspire, Zencart, Virtuemart, Cubecart, Amember, OSC, TomatoCart, Woocommerce. You will find my services highly reliable and professional. Let me get right to it and deliver your next project with a professional quality that many of my previous customers can attest to.

    PHP, Perl, C Programming, and Javascript

  • Development007 Profile Picture


    India,  India

    PHP, Javascript, .NET, and Joomla

  • mindblowcreative Profile Picture


    Mandaluyong City,  Philippines

    In the year 2013, cyberspace was in a time rift. Technology started to travel at hyperdrive speed, leaving behind internet denizens who did not know if the innovations they faced were merely temporary trends or the true path of the future to come. Enter Maverick Heroes – Saviors of Cyberspace! We rocket-punch bad graphics, roundhouse loopy links, and energy-blast the crap out of bug-riddled programs! See us upgrade websites with our visionary spunk and cyber-cosmic power combos. Young, unyielding, and a bit off-kilter, we proudly launch cyberspace citizens into the 21st century. Forgive us this one use of convention: Just like other champions across history, we’ll let past missions speak of our legendary online heroism. Enjoy your journey!

    PHP, ASP, Java, and Javascript

  • jerrywilson002 Profile Picture


    newyork,  India

    PHP, ASP, C Programming, and Java

  • crazygolfer Profile Picture


    Colorado Springs,  United States

    RPE Technologies provides a number of different services to you and your company. Below are just a few examples of some of the things that we can do for you. Each project cost is based on the level of work required and the time that it takes to complete. Also each project comes with a timeline, and project plan. This ensures that we understand what you what your final product to do and look like.

    PHP, Javascript, Cold Fusion, and Visual Basic