Need an HTML form designed with the following requirements.
1 - Header
3 - Sub Headers (1 Hidden)
5 - Text input fields (2 fields are required and need verification before submission. 3 read only)
1 - Text area field
1 - Check box (If the box is checked, a text area should appear below to prompt for comments. User cannot submit form if checkbox is checked but the text area is blank)
3 - Check box's that correlate to 3 of the text input fields (If checkbox is checked, user must enter text in the input field. User cannot submit form if checkbox is checked but the input field is blank)
6 - Check box's
1 - Save button (Should cause the validation to trigger)
1 - Cancel button (Should cancel form submission)
6 - Hidden read only text input fields
- Code should have comments
- The form should be modern and have nice CSS styling (Has to be Internet Explorer compatible)
- The form should be responsive, if the user shrinks the screen the form should shrink (Within reason)
I will provide even more details via email or direct message. This includes acceptable colors and the labels for input fields, etc.
44 freelancers are bidding on average $34 for this job
I have read the requested requirements. I am highly interested to make the requested HTML page. I am a professional front end developer. I have more than 5 years experience. I will make sure the best quality service.
Hello I have reviewed your job scope and I am confident to provide you a suitable solution. Please message to have a discussion on the project. Regards
I would be able to create the mobile responsive form you've specified. I'm proficient in html5, css3, js/jquery, php, mysql and I have extensive experience in website development and design.
Hello As a professional web developer, I have 8 years of experience with web development. I read your job description and I can complete your task perfectly. I am able to work right now. Regards Tong
Dear Hiring Manager, I am good at HTML. I've created many forms similar to this one so far. Please check my client's feedback. Now I am free and ready to start right away. Kind Regards, Md. Anisur Rahman
Hi, Hope you doing well.I read your project description and very confident to handle this project perfectly Let's have a discussion, negotiate costing, timeline and then we proceed Thanks!
Hi, I have read your job description. I can definitely do it. I can give you fully responsive website design. I have done many projects using Codeigniter, php, wordpress etc. I can give you the exact what you want.