This project is being re-posted after it was postponed a month ago.
Our website [url removed, login to view] needs to have a new form built.
Leading up to Christmas, we are giving out a lot of marketing material to the public and we are giving out a lot of Promo Codes. The purpose is to have people come to our website, provide us their first name and the email address, so that they can check the value of their promo codes.
Each promo code is worth a different amount of money which can be used when making a purchase. The promo codes are as follows:
awesome gift = $5
happy gifting = $5
Gift 4 U = $20
Gifts 123 = $50
Regal Gifts = $100
So what we need is a basic form that takes the customers name and email address and then shows them the value of their promo code after they enter it. So the form should have three fields:
1) First Name
2) Email Address
3) Promo Code
Once they enter these three fields and clicked submit, they should go to a page that tells them the value of the code. For example:
"Promo Code = $5"
Only the text would be in red.
All the information on the form should also be emailed to our email account.
We only require the form to be created on its own. We do not need it to be built into the site. Once we have the script for the form, we will have our webdevelopers place the form on the site.
If you can have the form look as close to possible to the attached image, that would be great.
We do not mind which langauge the form is in... as long as it works.
The two images attached show exactly what the form should look like and how it should work. Please let me know if you require any more information.
66 freelancers are bidding on average $66 for this job
Hi! I am really interested in taking up the project. I have the requisite experience and the expertise to complete this project with success. Please view my PM for details. Thanks. Regards. GLOBAL TECHNOSYS
Hello sir i am an experienced programmer, i will do your form within a day may be within hours, i will use XHTML/CSS/PHP/AJAX , Jquery and AJax to make it more interactive, Please have a look at PMB. Thanks
Hi Have Gone through your requirement and understood, we are very sure that we can do your needs with your entire satisfaction. We have left a PMB for you plz feel free to have a look over there. Thnx JSI Team