Build my form + Integrate to Mail chimp


I need this form built exactly the way it is

[login to view URL]

I need the from embedded in my website, i need the form once filled to be sent in a PDF to a few email addresses. I need access the forms any time . Once the form is filled out it needs to push the name. email and phone number to a mail chimp list where it will send an automated email.

Reply with what program you will use to do this how long it will take, and how you intend to do it. If you do not read this I will not engage with you.

Skills: PHP, HTML, Website Design, JavaScript, Software Architecture

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About the Employer:
( 20 reviews ) Sydney, Australia

Project ID: #24803898

Awarded to:


Hi, I speak full english and i am located in the UK, i have over ten years experience in PHP, mySQL, HTML, css, jQuery and many more programming languages. I am polite and when asked questions i will answer promptly. More

$250 AUD in 3 days
(30 Reviews)

27 freelancers are bidding on average $502 for this job


Hello, My name is Ishant and I am from India. I have experience of 10 years. I have gone through the details and can build the form in JS so it will send PDF on submit and send the email, phone number fields to mailchi More

$1000 AUD in 15 days
(190 Reviews)

Hi there, I will use LAravel framework for this . I have more than 10 years of experience in web design and development. I think your job is very suitable for me . Our skills: Programming Skills: AngularJS, Angular2 More

$750 AUD in 5 days
(293 Reviews)

Hi, I can create the form the same like reference and embed it on your website. When form is filled: 1-It will deliver data to multiple emails in PDF 2-It will save data to mailchimp list Procedure: First have to More

$400 AUD in 2 days
(438 Reviews)

Dear Sir, Greetings! Your requirements seems absolutely doable by us. Kindly provide require details and credentials of your existing so that we can review. We are an established IT company having 16+ years of workin More

$500 AUD in 7 days
(182 Reviews)

Hi there, I am a senior Joomla developer that has 10 years of experience working with Joomla, Wordpress. Here are some of my previous works: - [login to view URL] - [login to view URL] - https:// More

$500 AUD in 8 days
(286 Reviews)

Hi!hope you are doing great .Contact me to discuss your project in detail and start work. Looking forward to your positive and speedy action to work with you. [login to view URL] [login to view URL] ww More

$500 AUD in 7 days
(226 Reviews)

I Will Design A Responsive Email Template For Mailchimp You could edit all the text and images using MailChimp's drag n drop features, you can also multiply the layout. The template is compatible with major email clie More

$250 AUD in 3 days
(94 Reviews)

Hello, I am interested in your job and I can do that but I need to more clear in chat. I will create form as per your requirement and I will send that data in pdf to mail address and also I will push that details in M More

$505 AUD in 7 days
(155 Reviews)

Hi, I'm a Full-Stack developer with more than 5 years of work experience. I am an expert in BOTH Backend and Front-end Programming, PHP - OOP, MVC, REST API, HTML/CSS/JAVASCRIPT, Codeigniter, Laravel, Angular Js, Rea More

$250 AUD in 2 days
(37 Reviews)

Hello, We're a full-cycle team of PHP developers. We can build a form for you and integrate Mailchimp to your website! If you need help with: - Website/web application/e-commerce development (any complexity) fro More

$750 AUD in 7 days
(24 Reviews)

Hi sir ! I love to do realistic and web structuring and furthermore great in word press,shoppingcarts ,word press ,php and html too.i trust you will trust on me I have a work understanding of 3.5-4 years of realistic More

$400 AUD in 12 days
(25 Reviews)

Hi , As per the job description, I understand that you are looking for an expert PHP developer for your respected Project. I am working as a PHP full stack Developer from the past 6+ years. In addition to development, More

$400 AUD in 3 days
(45 Reviews)

Hi, I have been working on WordPress since last 8+ years & also developed 500+ WP projects successfully. I have worked on several similar projects. You can see an example of one of those projects in my portfolio here: More

$450 AUD in 12 days
(52 Reviews)

hello sir , I am a full time freelancer and have 10 years of experience in 1 web and window development in c#, javascript,sql server . 2 Android mobile development i can do work as per your requirement . I More

$700 AUD in 7 days
(10 Reviews)

Hi,dear. I understand your proposals and I am very interested in this job - 'Build my form + Integrate to Mail chimp'. I've already done this kind of project before. I am senior software developer and I am able to perf More

$555 AUD in 2 days
(18 Reviews)

Hello sir ma'am I have also done this types of work before, you can check this:- [login to view URL] [login to view URL] same logic is there in these both links and that is created by More

$500 AUD in 7 days
(14 Reviews)

Hello, I can do it using Captain Forms here [login to view URL] so you can always edit or add more forms as you like without the need of a developer as it has a friendly UI for you to maintain More

$600 AUD in 5 days
(13 Reviews)

Hello There, After reading your project details i would like to share my skills as i believe my skills completely match your requirements. I have 7+ years of hands-on experience efficiently coding websites and applicat More

$650 AUD in 15 days
(23 Reviews)

Hello. How about today? As I am Senior software engineer , I am very interested in your project. Let's discuss more on ChatBox. Thank you.

$700 AUD in 7 days
(5 Reviews)

Greetings, I have gone through your project details and my expertise matches your project. I noticed that you need a website designer. Well, I am a web developer having 6 years of experience. I can make your website a More

$500 AUD in 7 days
(1 Review)