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Webform design

Webform Designer

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We require the services of an experienced freelancer to create a form on our existing website. The form should integrate and flow seamlessly with the website-- with the same look and feel/color scheme. We may include some photos in the form as well (i.e. page one attachment).

Here is a general outline of how the form should look (Please review the attachments):

Page 1: Introduction & Qualifications

Page 2: Personal Info+ Social Media Questions (Add buttons for liking us on facebook or following on twitter)

Page 3: Educational Information

Page 4: Essay questions, and 2 uploads (Applicants will need to upload an Essay report (MS Word) and photograph)

Page 5: Thank You

Submissions through the form should come to our designated email address, and a confirmation page/email should be sent to the applicant once they are successfully done.

All work and payment will be done on a milestone basis to insure both buyer and seller are protected.

Skills: HTML

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About the Employer:
( 22 reviews ) Sugar Land, United States

Project ID: #1287740

16 freelancers are bidding on average $98 for this job

revolutes

We can help for your project. Thanks-Anuj

$140 USD in 3 days
(121 Reviews)
8.3
digiwebcreators

I am expert in this kind of jobs. High quality work will be delivered , Guaranteed. Please check PMB for full proposal.

$100 USD in 2 days
(197 Reviews)
6.8
bdweb

Detail in pmb

$100 USD in 2 days
(89 Reviews)
5.8
brtodi

Hello, I hv reviewed your description and interested to start. You are requested to check my PM for portfolio and client reviews to get an idea of my works & services. Thanks.

$75 USD in 2 days
(50 Reviews)
5.7
tomstat123

Hi, Experienced developer. Have reviewed requirement. Please check pmb. Regards Tom

$100 USD in 4 days
(30 Reviews)
5.5
orionk

Hello sir , ready to start . already done forms like this + validation

$50 USD in 1 day
(48 Reviews)
5.3
danieloraca

PMB first please :)

$150 USD in 3 days
(24 Reviews)
4.4
popcraft01

hi,, please check pmb

$150 USD in 5 days
(25 Reviews)
4.3
gutenmorgen11

Hi. I'm ready to start. Please check PM.

$100 USD in 5 days
(21 Reviews)
4.2
Torkul

Web developer with 12 years of experience.

$85 USD in 3 days
(2 Reviews)
3.0
Percious

Ready to this work .

$100 USD in 5 days
(0 Reviews)
0.0
Sivaraj2012

I am interested to do this [url removed, login to view] you

$40 USD in 10 days
(0 Reviews)
0.0
abbasis

Hello, I have professional experiences in web development. I will do it for you and give you a quality works. Regards, Adeel Abbasi

$110 USD in 3 days
(0 Reviews)
0.0
ustrongsm

i can do it just you defined , just give me details.

$70 USD in 5 days
(0 Reviews)
0.0
z0l3e

I can do this job for you, contact me for future details. Have a nice day

$100 USD in 2 days
(0 Reviews)
0.0
shivani11

Hi I am an experienced web devloper.

$100 USD in 3 days
(0 Reviews)
0.0