In Progress

PHP Form

We are in need of a web site form to be made. This web form needs to have a Submit button - that needs to have the form emailed in HTML or Text to 1 or a couple different email address.

The form is made in basic HTML just to show what fields, drop boxes, radio boxes, etc. are necessary.

This must be a QUICK turn around. If you are picked for the project you agree to:

1) Redesign the form that is supplied, into a professional, clean and user friendly look.

2) Make the form modern and have a fresh look. Clean, easy to read and modern fonts

3) Have the option on the form to email the form as HTML or Text.

4) Have the option on the form to enter the recipients email addresses. This area must be password protected, with the option to change the password and/or user name.

5) Keep the coding clean, and very well organized so we can at a later date go into and change questions, add questions, etc.

6) Must be Dreamweaver CS2 or CS3 friendly.

The form is hosted on Godaddy servers.

Happy bidding. Must provide FAST turn around for this project. Please see attached [url removed, login to view] as to what content should be included.

Escrow payment. Final payment will be release when original files are sent to us and tested on our server.

Skills: Graphic Design, Javascript, PHP

See more: a1dezine, user form, redesign php, php radio, form 2 email --2, form submit php, javascript submit form email address, javascript html password, php modern, javascript change button, php godaddy email form php, project form, easy php coding, basic content php, form radio, html javascript form, dreamweaver site redesign, javascript read text, professional couple, add radio web site, javascript form show, project coding php, cs3, php project bidding, javascript date fields

About the Employer:
( 24 reviews ) Eagleville, United States

Project ID: #205092

Awarded to:

a1dezine

HI We like to be considered for this job. Let us start right a way. Cheers Ranjeet

$90 USD in 2 days
(73 Reviews)
7.0

8 freelancers are bidding on average $79 for this job

toinnisfree

pls chk pmb

$100 USD in 3 days
(586 Reviews)
8.0
bsoist

Please see PMB.

$100 USD in 3 days
(37 Reviews)
6.3
jcodemasters

Can be done

$100 USD in 2 days
(58 Reviews)
6.2
wanderer55t

Hey there, my name is Brendan and I'd love to redesign this form and set it up to send emails. I'm US-Based and English is my first language. I'll PM you my profile. Give me a chance to earn your trust. I promise you w More

$90 USD in 2 days
(17 Reviews)
4.8
mattys

happy to help...

$50 USD in 1 day
(1 Review)
2.6
BDIIT

Pls see the PMB...

$30 USD in 1 day
(3 Reviews)
1.4
Threord

Check your "PMB".

$75 USD in 2 days
(0 Reviews)
0.0