3-page static website design with form (php, mysql needed)

We need a 3-page very simple design where we will insert an web-to-SMS form in the middle on the main page only. The other two pages are "about us" and "terms and conditions"

The 1st page:

We'll give you a general idea of the look and feel of the page, feel free to suggest designs. It must look modern, fresh and be compatible with all browsers and should be visible in at least 1024x768. Preferably will use ajax and css. The 1st page will contain the following elements: header (for logo and banner), body, and footer. The page will have advertising on both left and right sides and the form will go in the middle.

The Form:

(This is where PHP, javascript and Mysql knowledge is needed) you will also desing the form and integrate it on the main page. The form has 3 input fields: From: (text) To: (number) and Message (100-120 characters). The functionality of the form is as follows: the "from: field" will have a max of 8 characters and will have to be added to the main message on output only. The "to: field" will have a max of 7 numeric-only characters, and depending on the first 2 digits of the number (we will work with two different ranges of numbers) will reduce the text area to either 100 or 120 characters and write the output to two different tables on the database. The Message box must have a character limit of either 100 or 120 characters (depending on the "number" input), forbid certain characters to be entered and a character counter (for example: you have typed XX characters).

This form should integrate nicely with our sms-sending solution (which "pulls" the message from the database via a php script. Documentation and samples will be provided.

The 2nd and 3rd page:

Static pages for "about us" and "terms and conditions"

This should be a simple proyect and we needed done in about 48 hrs.

**** EDIT****
The form has to have required fields (all) and captcha validation. Also, we will need a counter that disables the form and posts a notice after 1500 or 2000 "submits".

Skills: AJAX, Javascript, PHP, Website Design

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About the Employer:
( 2 reviews ) Belize City, United States

Project ID: #592650

Awarded to:


Please check PMB for more detail

$250 USD in 2 days
(17 Reviews)

9 freelancers are bidding on average $203 for this job


The specs are clear to us. Pl. specify which sms gateway would you like to integrate?

$250 USD in 4 days
(1383 Reviews)

Hi please check pmb for details

$250 USD in 2 days
(238 Reviews)

Will happily do in given time frame

$199 USD in 2 days
(411 Reviews)

Hello,we are ready,please check your PMB, thanks

$175 USD in 3 days
(185 Reviews)

Hi,Please see PM.Thanks.

$199 USD in 5 days
(53 Reviews)

Check PM for more detail. Thank you.

$200 USD in 2 days
(51 Reviews)

Hi, Please check PMB. Thanks.

$200 USD in 5 days
(4 Reviews)

I'm sending you some sample of my works. thanks

$100 USD in 2 days
(1 Review)