I am looking for a developer that can create an online application with a certain set of questions for potential customers to apply for program membership applicable to the product we offer. The application should do the following things:
-Be able to determine if an applicant is eligible for the program based on the answers to certain questions.
-Store the application in a database/Excel file/etc. once a customer clicks on "Submit" (I am looking for a recommendation of the programmer as to the best way to direct and store this information so that it is accessible by our administrator).
-If the applicant is eligible, the "Submit" button should send the applicant to a new page where they can enter payment information.
-If the applicant is ineligible, they should be directed to another page (creation of this page and payment page are NOT part of this project).
I am looking for a form that can be incorporated with the theme of an existing website if possible. The application should include a combination of text boxes, check boxes, drop-down menus, etc. that would best represent the PDF version of the application (file attached).
18 freelancers are bidding on average $304 for this job
Expert in doing this sort of stuff... No upfront needed, all payments through GAF Milestone Payment (Escrow).. Online 16 Hours a day, Can start right away.. Thanks
hi, i can do this for you at your preffered programming language (asp/php/jsp) to ease integration to your website. i have rich experience in web application development for 6 years. thanks.
We are a professional group of ASP/PHP/MySQL/HTML/CSS/MSSQL/VB6 professionals and would be intrested in this project we you could share with us the template of the website we could move forward