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Lead registration form PHP/MySQL

Form fill out for registration. Validation for all forms on the registration page. Once registration is complete, email will go to client with registration information and user will go to "thank you" page.

1) First form will be for the " Payday Vertical" see sample link:

[url removed, login to view] , [url removed, login to view]

2) Second form will be for the " Debt Vertical" see sample links below:

[url removed, login to view]

[url removed, login to view]+google&rbk=debt&src=google&kw=debt&ag=debtconsolidation&rbt=debtconsolidation&gclid=CKKrq4HDk6wCFQ40hwodhxqLqA

3) All the captured data (info) will go into a MySQL database

Skills: HTML, Javascript, MySQL, PHP, Website Design

See more: registration complete, complete registration, mysql client, rbt, kw, forms mysql, form php, form fill, fill form, vertical php, mysql lead, php client information, google form data, client form, php keyword, registration will, php mysql forms sample, mysql client database, php email validation, sample client form, php registration validation, email form php, mysql link, javascript mysql data validation, user registration form php

About the Employer:
( 7 reviews ) Los Angeles, United States

Project ID: #1279404

37 freelancers are bidding on average $121 for this job

toinnisfree

pls chk pmb

$185 USD in 3 days
(549 Reviews)
7.9
ambar

Dear Sir/Madam, We are on Freelancer for last 7 years helping media and advertising companies serve their customers gracefully. We are reasonable in pricing and do not pull back once we commit. The same is reflected More

$99 USD in 5 days
(102 Reviews)
7.4
webedeveloper

Experienced and serious team ready to start, please view private message.

$99 USD in 3 days
(104 Reviews)
6.9
khush1984

Hi tenico101, Please check PM. Thanks.

$85 USD in 5 days
(64 Reviews)
6.7
netxpertindia

NetXpertIndia is a customer-specific service oriented company has got a Professional and creative team. We are the Professional Web Development Company having rich experience in Web design and development. Our team can More

$200 USD in 1 day
(81 Reviews)
6.7
webzin

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 Ram Webzin I More

$100 USD in 3 days
(80 Reviews)
6.7
joomlamanager

I can start now, i have been working with PHP, MySQL, JavaScript and some other related programming language for the past 5 years. Look forward to work on you project. Thank you for the opportunity.

$180 USD in 4 days
(97 Reviews)
6.1
ProgPro117

Ready to start now! plz check pmb.

$200 USD in 2 days
(39 Reviews)
5.9
forrestwang

hi sir, i checked these links, so you want to copy these different themes and the functions?

$250 USD in 7 days
(23 Reviews)
5.7
GoldServices

I am here to help you creating lead registration form!

$100 USD in 3 days
(19 Reviews)
5.6
itsoftwarelab

Hi, I will be happy to start just right now. Thanks

$101 USD in 2 days
(25 Reviews)
5.1
samykhalil

it is a simple job

$50 USD in 1 day
(20 Reviews)
4.8
Mitoff

Skilled and devoted to the PHP and MySQL. Will acomplish your request for no time and for less money than anybody else offered you. With free aditional fixes as if you want.

$90 USD in 2 days
(19 Reviews)
4.6
JansenCorp

I have been a web designer and developer for over 15 years. To create these forms, validate the mark-up and CSS (W3C), thoroughly test and then check the last two versions of firefox, last three versions of internet More

$192 USD in 2 days
(8 Reviews)
4.0
amsak

Placing bid

$150 USD in 10 days
(8 Reviews)
3.7
CRMTech

This is right up my alley, please see PMB for more details. Thanks!

$150 USD in 5 days
(4 Reviews)
3.5
andrawisnas

PLEASE CHECK YOUR PMB

$100 USD in 2 days
(8 Reviews)
3.6
gategate

I can start immediately you project

$50 USD in 2 days
(9 Reviews)
3.4
jithendra89

hey i have 3 years experience in web programing. i can do this for you. thank you.

$35 USD in 1 day
(7 Reviews)
3.3
shaikhaezaz80

Please give me project, I want to work with you.

$50 USD in 7 days
(4 Reviews)
1.7