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Custom Made Online Form + Page Design

Hello,

I need a programmer to create a webpage with a customer made form built into it which can be filled out by people who visit the webpage. The details will then be sent to a selected email address on submit. This is a lot like many other types of online form builder available, but id like mine to be custom built with a very specific look. Details will be passed on to winning bidder.

Thank you.

Skills: HTML, PHP, Website Design

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About the Employer:
( 0 reviews ) Sunderland, United Kingdom

Project ID: #2515037

20 freelancers are bidding on average $86 for this job

ahtsolutions

We are interested in your projects. We can handle this project. Please check PMB for our profile & portfolio. Thanks a lot! ArrowHiTech Jsc!

$150 USD in 4 days
(471 Reviews)
8.9
arijit81

Based on our expertise and long term experience, I can guarantee an extraordinary result in less than anticipating time.

$300 USD in 9 days
(277 Reviews)
7.7
mindblowcreative

Our goal is to exceed the expectations of every client by offering outstanding designs, increased flexibility, greater value in development, thus optimizing system functionality and improving operation efficiency. Our More

$300 USD in 5 days
(37 Reviews)
7.6
ravneetschawla

Hi Please check my portfolio. Thanks

$120 USD in 4 days
(113 Reviews)
7.1
wsfreelanzer

Hi, i'm a PHP Programmer. I reviewed your requirement. I can do this project. Please check more details on private message. Thanks, raj

$100 USD in 3 days
(100 Reviews)
6.8
webn

Hi, Please let me know detail about the form. I can do it inn few hours.

$45 USD in 0 days
(106 Reviews)
6.7
santoshfree

Hello! We are very interested for this project. We have enough experience on all these areas. Please check PMB for more details. Thanks,

$100 USD in 5 days
(85 Reviews)
6.6
netdukesinc

Send me form fields. Thanks!

$39 USD in 1 day
(163 Reviews)
6.5
coolrankit

------2YEARS EXPERIENCED PHP, WORDPRESS, CSS & WEB DEVELOPING EXPERT------

$50 USD in 1 day
(40 Reviews)
6.0
rajibdebslg

Dear Sir, Please check PMB for details.

$30 USD in 1 day
(68 Reviews)
5.7
usin

Experience in designing / programming for your website creation with PHP/MYSQL latest technologies *****Quality Guaranteed just escrow to get started and released after successfully completion on the project--- >

$100 USD in 5 days
(43 Reviews)
5.6
jaisnikhil

Dear Sir, Please check your PMB.

$30 USD in 1 day
(77 Reviews)
5.5
elabuwa

Hi there, Expert developers in php,jqyery and ajax at your service. Please refer to my personal message. Cheers Ela Buwa

$49 USD in 2 days
(24 Reviews)
5.2
upekshawisidaga

Being an experienced programmer, I can complete your custom form implementation easily. See PM for more details.

$70 USD in 5 days
(23 Reviews)
5.1
jasonbourne501

I am really interested in this contact form. Please check private message for details. many thanks

$100 USD in 2 days
(13 Reviews)
5.2
aneeshsasidharan

Understand your project. Ready to start now. Please check PMB

$30 USD in 1 day
(72 Reviews)
5.1
abhishekmiet

Hello Sir, I am ready to start the work.

$40 USD in 1 day
(23 Reviews)
4.8
MakeYouBelieve

Hello, I can do it. Regards.

$100 USD in 2 days
(43 Reviews)
4.7
javakapil

Hi Sir, Let's start right now. Please check private message for more details.

$60 USD in 1 day
(11 Reviews)
4.3
phpvncoder

Hello sir, I can do that for you, hope to working with you, Thanks!

$150 USD in 3 days
(6 Reviews)
2.3