Cancelled

I need an online order form linked to my site

I need an order form linked to my website so people can place orders

This will not be linked to a shopping cart.

I have 4 products in 2 sizes so shopper will be able to click on the order page and I will have some text and below this

Name

Ship to

Address

City

State

Post Code

Country - ONLY AVAILBE IN AUSTRALIA

Phone

Email

Products (From a drop down menu you will have the 4 products)

Weight (From a drop down menu you will have 2 weights 3Grams and 7 Grams)

Quantity (From a drop down Menu you will have 1 to 200 with 1 being at the top)

A Comments field max 2000 characters

Send button

I want to receive this as an email so I can create an invoice and email back

This needs to be incorporated into the site and look attractive. You can use a script if you want but this should be very easy and I am willing to pay $30.00

I need you to show me a sample of what you can do

Skills: MySQL, Perl, PHP, Script Install, Website Design

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About the Employer:
( 163 reviews ) Underdale, Australia

Project ID: #1086654

30 freelancers are bidding on average $57 for this job

madhavdutta

Lets start

$30 USD in 1 day
(196 Reviews)
8.7
psenthilkumar

Expert Here! please check your message board.

$30 USD in 1 day
(167 Reviews)
7.6
agilesols

LETS DO IT.

$30 USD in 1 day
(231 Reviews)
7.6
ovxsolutions

Hi,please check PM,thanks

$50 USD in 1 day
(127 Reviews)
6.9
asarfraz

Please check PM

$100 USD in 1 day
(97 Reviews)
6.7
LuigiWidmore

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

$30 USD in 1 day
(111 Reviews)
6.5
ecartsolutions

Jquery/CSS3 expert here. I can help you with a nice professional looking form for this project. Please check message board for details. Hari

$75 USD in 2 days
(287 Reviews)
6.4
ad33lx

Please check PM. I will provide you samples unless and until you are satisfied

$30 USD in 1 day
(23 Reviews)
5.9
allroundexperts

Please check PMB

$30 USD in 0 days
(118 Reviews)
5.6
aukint

Hey, Greetings from AukInternational. ****Please check your Inbox****

$35 USD in 0 days
(49 Reviews)
5.7
surajddk

Hi, Let's start! I have experience with this!! Check PMB...

$30 USD in 0 days
(34 Reviews)
5.7
developer287

i did it before. please visit http://mecei.co.cc/english/index_en.php#action=subscribe then click on subscribe now

$30 USD in 1 day
(38 Reviews)
5.0
stuntrider

I'm definitely your guy for this. Please see my private message, thanks!

$30 USD in 1 day
(17 Reviews)
4.8
cybrilltech

HI Your work will be done Regards Imran

$30 USD in 1 day
(4 Reviews)
3.9
ropbin

ready for this work

$50 USD in 1 day
(2 Reviews)
3.6
tehnicsmart

Hello, view pm

$30 USD in 0 days
(13 Reviews)
3.8
smartskill

hi i m a php mysql developer haveing 5 yrs work experience area of experience 1. magento 2. wordpress 3. smarty 4. ajax Check PM for details

$30 USD in 1 day
(6 Reviews)
3.4
tgshakthi

Hi, I can work on it, Best regards, TG Shakthi

$30 USD in 1 day
(6 Reviews)
3.5
tellmemorei

Let's start, Please check PM.

$30 USD in 0 days
(8 Reviews)
2.9
david124

SEE UR INBOX.

$30 USD in 3 days
(2 Reviews)
2.4