In Progress

Three Step Landing Page

We need one landing page to capture a customers data for a modeling agency's website/database.

Here is a very basic sample of a landing page form. We do not have to look like this page, but this is just as an example.

[url removed, login to view]

Our Step 1 data should be these fields:

First Name

Last Name

Age

Phone Number (10 digit format, strip slashes dashes parentheses and periods)

Email

City

State

Zip Code (5 digit format)

All these fields will be required. Once submitted, a new page should display. It should be the same landing page template as in the first step, but it should have new fields for a second round of data collection from the customer. The fields for Step 2 should be the same as the link above, although we do not need the male data, only the fields for female. We also do not need the metric system checkbox. The field names and drop down options should be the same though.

Step 3 should be the same. If you cannot find some stock photos you can use those 4 photos on the link for now and we will replace.

Skills: CSS, HTML, MySQL, PHP, Website Design

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About the Employer:
( 22 reviews ) Beverly Hills, United States

Project ID: #1374041

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auriclesoft09

Hi We are CRM/ERP/POS/Custom Software solution providing company So we are really interested to deliver this project. For more details please see your PM. Regards AuricleSoft

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16 freelancers are bidding on average $137 for this job

zeee

please see pmb.

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jsinfoway

Lets [url removed, login to view] pmb for details. Thanks ...

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khush1984

Hi wmpagain, Please see PM for more detail, thanks.

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ExcellenceonPHP

LETS GO.I HAVE EXP OVER 6 YEARS ON PHP,MYSQL,JS,AJAX,[url removed, login to view] TO START IMMEDIATELY.

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nuprogramer

Hi, I am expert and can provide you best solution, contact me. thanks

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souqar

Hello, please check your PM

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johnangel1992

I'm interested. see further details in the PM I sent you!

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freelancerphp11

Hello, I have read your requirement, I am ready to start your project, please check my pmb. Thanks,

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SwanDesigns

Hi, hope you are at your Best !! Please refer to the PM for the Links and the description. cheers :) Swati

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kishoregurjar

Sir We Are Experts In Web Designing(PHP, WordPress,vtiger CRM,ASP.NET, HTML, CSS). We are new at [url removed, login to view] but we had a long time experience in Web Development. For our past work and other information please More

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vikkram

We take this opportunity to introduce Trivia Info as a professional service provider.

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luckyleo22

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shawonewu

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JalpeshGondaliya

I am a php programmer having experience of 3 years.

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bsravan2020

We are Undergrads Quite interested in WebDesign and Development.. We are well-averse with latest web-technologies..

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