Interactive Form Needed

Closed

Description

I need a 3 page application form completed which should be falrly simple. The user will be applying for financing and the form will collect the users information and email the information back to me. The first page of the application form should collect the users basic information (also allow for a co-signer to fill out info as well), the second page should give the user the option to choose the amount of financing they need, the last page will be a "Thank you for your submission" page advising the user that we recieved their information. The form should flag users when information is missing. An example of the look and functionality of the form can be found here:

[url removed, login to view]

Click the "Apply Now" button under the Student Loan section. Please test the form to gauge if you can complete the form. Lastly, please provide samples of your relevant work with your bid?

Skills: Electronic Forms, Website Design

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Project ID: #2329763

6 freelancers are bidding on average $118 for this job

vsscomputers

Hi, Please check inbox for details and samples of our works done

$75 USD in 2 days
(89 Reviews)
6.4
kssoftphp

I am ready and expert in PHP, MySQL.

$80 USD in 2 days
(17 Reviews)
4.6
Penesec

I can accomplish your project to a very professional degree. I have experience with creating forms and have various aids to help me speed up the development. For your project, I will follow very closely to what form fi More

$80 USD in 1 day
(2 Reviews)
2.4
cemetman

Dear Sir; I assure you that I can easily meet most of the mentioned requirements. I have 15 years web-design experience. Just give me a chance to fulfill your satisfaction. I can do your job according to your directio More

$70 USD in 3 days
(1 Review)
1.5
kaydev

I have a very powerful script that can be styled to match your website. The form can contain any style of boxes etc for the collection of your needed information. The email can also be styled to make the collected info More

$100 USD in 2 days
(0 Reviews)
0.0
nolatodd

Hey Bobby, I can do this form for you no problem. The example you showed is done in Javascript and that would be the best way to get the job done. I would need all the data fields that you would want on each page More

$300 USD in 7 days
(0 Reviews)
0.0