Cancelled

Form for a member section - E-mail + MySQL

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: #1278337

8 freelancers are bidding on average $275 for this job

expertonphp

Hello Sir, We have understood your requirements and can do this job very easily. We have 5+ years of experience in Web Development. We assure you that we will provide you quality work at reasonable prices for further d More

$250 USD in 2 days
(100 Reviews)
6.1
youspaze

Hello, I'm interesting in taking this project, Please take a look at my PM

$250 USD in 1 day
(48 Reviews)
5.8
Jeyes323

Hello. I'm ready to start immediately, plz check pm

$250 USD in 2 days
(43 Reviews)
5.7
meghraj27

Hello Sir, get it done within timeframe with perfection.

$400 USD in 3 days
(16 Reviews)
5.6
prolanzer

Ready to start. PM sent

$300 USD in 2 days
(19 Reviews)
4.6
sv3tli0

Hello I am free and ready to work on your form. Please check my PM for more details.

$250 USD in 2 days
(23 Reviews)
4.3
asfafz

please view personal message board.

$250 USD in 4 days
(4 Reviews)
2.8
worocker

Please Check Private message .

$250 USD in 2 days
(2 Reviews)
1.9
adnanjouned

i will do your work in low price and very high quality.. 5 years of experiment .. ready to work from now

$250 USD in 1 day
(0 Reviews)
0.0