Cancelled

customized form

when we accept a provider on our company we send and excel form (attached image) to provider and he need to fill it and send it back to us for enter it on another software for process information.

We are looking for bring this form online for provide an link to provider and fill the form online and send it to us.

We are implementing an website for do this but we are looking for a experience person to do the form.

The form will need

1. required fields

2. some optios are drop down list

3. At the beggining of the form (below title) are four checkbox option (PALC, PAEX, PADI, PAIN) depending of the seleccion will appear the section A and B only or all sections. So the form must ask first to check this area and depending of user selection will appears all sections or only some sections.

[url removed, login to view] system must send an email like the form of the image with entered information

[url removed, login to view] the bottom before click send will be 3 checkbox option linking some legal terms that user must check before send form.

I need a quote for 2 scenarios

SCENARIO 1.

Do the form with all steps above. the form must be easyly edit in case that any word is need to be modified later. or if is needed to add/edit options, etc.

SCENARIO 2.

The same as scenario 1 but all data will be stored in a database that will keep all forms information.

All the form must be later reviewed and there exist and option for serach forms by date, month, etc

the system must generate reports or look into the database depending of some terms . Example

1. We want to know how many form was filled from X country

2. How many form was filled last month

3. quote 7-10 search criteria on the database . i still dont have all the search criteria.

* remember that the form must be easyly edit , etc....We are thinking in joomla for make the site and may be the work can be perform modifying some existing component for make form.... but if are offered another option another than joomla for this... only tell me

Remember i need the quote for 2 scenarios.,,,

thank you guys

Skills: AJAX, Joomla, MySQL, PHP

See more: joomla online forms, first serach, excel form to enter data, another word for implementing, fill in form word, excel scenario, edit word online, form word, form 2 email --2, fill in a online form with data, fill form, excel form, edit email forms, generate reports excel, implementing online, word add date, fill form data site, excel selection list, send data form database php, excel joomla site, excel date selection, country php drop list, form image, fill data form, list country drop list

About the Employer:
( 2 reviews ) honduras, Honduras

Project ID: #1129343

21 freelancers are bidding on average $140 for this job

rabbul

please check pmb

$125 USD in 4 days
(633 Reviews)
8.4
patzzVJSOFT

Hello sir we are ready for this, plz check PMB

$100 USD in 5 days
(190 Reviews)
8.0
zeke

Ready to start immediately and finish within 1 day. For scenario #1 subtract $50 from price.

$150 USD in 1 day
(184 Reviews)
7.5
k1ng440

Professional Web Developer is Ready get started right now and will finish in no time. Please check your PMB

$250 USD in 3 days
(98 Reviews)
6.5
LuigiWidmore

Hi sir , Please check PM. You'll like my offer.

$80 USD in 3 days
(98 Reviews)
6.4
khanhhuyna

Ready to work this for you. Thanks.

$250 USD in 7 days
(105 Reviews)
6.7
allroundexperts

Please check PMB

$75 USD in 5 days
(180 Reviews)
6.2
kinsh

Hello, We are a team of professionals with more than 5 years of experience and developed over more than 340 projects covering template designing, Creating templates, creating complete web-sites and also payment gate More

$230 USD in 3 days
(42 Reviews)
6.0
surajddk

Hi, PHP, MySql Expert Here!! Let's start!! Check PMB!!

$100 USD in 3 days
(31 Reviews)
5.5
itambassadorz

Ready to start

$200 USD in 5 days
(14 Reviews)
4.9
mrintelligence

Please See the PM for LIVE Demo

$220 USD in 8 days
(19 Reviews)
4.7
abacritt

Please check PMB. Thanks.

$185 USD in 7 days
(5 Reviews)
4.4
sameg

plz check PMB.

$80 USD in 3 days
(28 Reviews)
4.4
kazaa

Hello, please see pm.

$90 USD in 3 days
(10 Reviews)
4.2
HardwareDesign

Let's start professional and experienced in PHP5/Mysql/ajax Best Regards

$65 USD in 5 days
(9 Reviews)
3.3
CheapGoodWork

hello lets start on this! thank you

$30 USD in 2 days
(3 Reviews)
2.7
extremewebsoft

Quote on PMB

$150 USD in 10 days
(0 Reviews)
0.0
kh1985pk

Give us the opportunity have a vast experience of Joomla forms see PM for some past work.

$150 USD in 3 days
(0 Reviews)
0.0
smbakhtiar

I am interested.

$150 USD in 2 days
(0 Reviews)
0.0
majlotech

Hi, I am interested in your form project and willing to perform the best of the skills I have. Please see my PMD. Sincerely, Mihail

$150 USD in 4 days
(0 Reviews)
0.0