In Progress

Online Form + Email Function

[url removed, login to view]

I need this form (just the form) cleaned up (looking for something similar to attached file as far as look/feel), it has to have a bunch of the fields validated and a well formed HTML email must be sent to a specified recipient as well an an acknowledgement to the person completing the form.

The layout itself should be mostly constructed of divs in a fluid layout using clean css and a few subtle effects like onblur/onfocus hightlights and border/color change. styling should be soft gradients of whites and grays but I do not need rounded corners and I do not want to use a jquery form styling replacement, they are too slow to load. I don't mind jquery for form validation however.

I am running apache, php, perl, linux so server side checking is possible as well. I prefer client side with elegant notification box (possible jquery) and a few simple server side checks to compliment but I could add in the server sie stuff when the form is ready.

Ultimately I will populate a database with some of the data collected so the php or perl code used to send the email should be clean and well written.

I do not need captcha.

I will provide specific details when job is awarded. I typically create these forms so I can provide you with exactly how I want everything done.

Skills: CSS, HTML5, jQuery / Prototype, Perl, PHP

See more: php job online, php code online, perl online job, online linux server, online jquery, online job linux, online job 24, online email job, look for job online, linux job online, code html online, php create function, linux online, email clean up, online layout, layout online, how to do a online job, sie, server email like, linux email, html email server, form css, email validation, email notification , email linux

About the Employer:
( 2 reviews ) West Lawn, United States

Project ID: #1253621

Awarded to:

scroom

Ready to start!

$149 USD in 3 days
(29 Reviews)
5.7

22 freelancers are bidding on average $111 for this job

agilesols

lets do it.

$120 USD in 3 days
(220 Reviews)
7.5
phenodesign

I'm ready to help you.

$75 USD in 1 day
(38 Reviews)
6.5
op2i

I am interested. please check PMB.

$170 USD in 2 days
(52 Reviews)
6.5
tonykim100

Hello sir! Please check PMB.

$150 USD in 2 days
(126 Reviews)
6.2
prosenjit1ghosh

Please check ur PMB.

$80 USD in 1 day
(37 Reviews)
6.1
phpexpertbd

Dear, I can help you as you Want. Please Check PMB for details.

$90 USD in 2 days
(29 Reviews)
5.8
Jeyes323

Hello sir! ready to start now! plz check pm

$90 USD in 1 day
(43 Reviews)
5.7
rfedorov

Hello, I'd like to work with you on this project. Please check kindly the private message. Regards, Roman

$200 USD in 4 days
(26 Reviews)
5.5
samkaranja

Ready for service Sir, Thanks.

$100 USD in 2 days
(66 Reviews)
5.3
Peterpay

i can do this html5 css3 jquery

$150 USD in 3 days
(24 Reviews)
5.0
vijarp

Hello,Pls check PM

$100 USD in 2 days
(22 Reviews)
5.0
PrasadSolutions

Please check the PMB. Thanks

$99 USD in 3 days
(10 Reviews)
4.6
InovebTeam

We can help you sir. Check our portfolio in PMB. Thank you.

$150 USD in 3 days
(12 Reviews)
4.3
joomlaexpert4yrs

Hi, I am Expert in OpenSource Development. I have 5+ Experience in PHP. I assure you for expectations and the responsibilities of Job,Can start right away! Kindly check PM.

$75 USD in 2 days
(20 Reviews)
3.8
HumbertoCaldas

Hi :) i send PM , Regards

$100 USD in 3 days
(1 Review)
3.6
umar4waqas

Dear Sir plz check PM. Umar

$100 USD in 1 day
(6 Reviews)
3.4
giorgioferroli

have already do job like that. please check pm.

$100 USD in 2 days
(1 Review)
2.1
thiquinteiro

Hello, I can develop your form exactly according to your required specifications. For front-end validations will be used jQuery + jQuery UI to look better. If necessary to vaildações ajax without reloading the page. More

$150 USD in 2 days
(0 Reviews)
0.0
sbis817

We have expertise in both coding and designing. We can solve your purpose. Thanks

$50 USD in 4 days
(0 Reviews)
0.0
akC90

U may even get this thing done in one or 2 days. I have completed a website for my own and it has a form for contacting me with validations. Give the new guy a try

$45 USD in 3 days
(0 Reviews)
0.0