In Progress

Form for a member section - E-mail + MySQL (repost)

I currently have a Website with a private section for member. This is a corpo. website in French, but I will provide you all translation needed.

I need a new form than user can fill. The information is sent by e-mail to ADMIN, to user ( confirmation) and in the MySQL Db.

REALLY IMPORTANT, the form have to remember the last choices of the user. So when he want to fill it again, he see the last information he entered.

This form is going to be really similar to a form I currently have, so I guest you will be able to take some code from this. Have a look to the muckup in attach piece. There is a repeating box, mandatory fields, fields than cannot be choosed both ( Ex. yes OR no) . etc...

The muckup is in table, but you have to do it in CSS . No table. See attached piece

Must be 100% W3C and you have to do a REAL and HUGE quality testing. I do not want to have to check after you again and again.

We will work on test server and transfer the final form on real server once done.

Project is a little bit urgent, please, indicate me when you are ready to start and your REAL time estimation. Do not bid 1 days if you are planning to take the next 3 days off ! ;)

Good luck !

Skills: CSS, Electronic Forms, MySQL, PHP, Website Design

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About the Employer:
( 97 reviews ) Laval, Canada

Project ID: #1278447

Awarded to:

sv3tli0

Hello again. I am free and ready to work on your form.

$70 USD in 1 day
(23 Reviews)
4.3

8 freelancers are bidding on average $125 for this job

expertonphp

HELLO SIR, THIS IS MY SECOND BID FOR THE SAME PROJECT, I AM REALLY INTERESTED TO WORK WITH YOU. LETS START, THANKS!

$100 USD in 2 days
(105 Reviews)
6.3
Jeyes323

I'm ready to start immediately, plz check pm

$150 USD in 2 days
(43 Reviews)
5.7
meghraj27

Hello Sir, get it done with perfection, don't miss to read message.

$250 USD in 3 days
(16 Reviews)
5.6
prolanzer

As discussed. PM sent

$200 USD in 2 days
(22 Reviews)
4.8
worocker

Please check private message .

$120 USD in 1 day
(2 Reviews)
1.9
WebHelp93

Hello, sir. I can help you.

$50 USD in 1 day
(0 Reviews)
0.0
nbeicra

Hi Check PM thanks

$30 USD in 1 day
(1 Review)
0.0
irfancapricon

work will be done in a week and upto your requirements

$100 USD in 7 days
(0 Reviews)
0.0