Build a Website - Custom Forms

Looking to develop a responsive website. (CMS or Framework - backend admin access required for amendments and management)

Designing and 6 months of service after deployment needed.

Must be seamlessly responsive for mobile use.

The website needs to be simple, minimal design.

The website is for an insurance service that brings insurance buyers together to join a group.

Initially there will be 4 groups that users can choose to be part of. Each group will have its own JOINING FORM.

Each group represents an insurance product.

The main landing page will have a button to JOIN. The joining form will be in two parts.

First part will require:

Full Name

Postal Code



Once NEXT is clicked, a GROUP specific form will open up.

Group specific form details will be provided separately. The form experience in key to the project success.

Socia media integration with Facebook, Twitter, LinkedIn and Instagram needed for one click sharing of the main website page. Such button to be on main page as well as inside each group page.

Each group will have a page (4 initially) that shows INVITE FRIENDS button, Header image, titles, narration and possible product features.

Main Menu to have links for Home, About Us, Groups (with sub menu that admin can change), Contact. Prominent JOIN NOW button next to the menu or the right most side on the top.

On the backend, need ability for the admin to add new groups, change homepage look of the group and title etc. (Similar to Wordpress/Joomla/CMS backend)

On the backend, admin and other authorized role should be able to download the database info for analysis and review in Excel, CSV etc.


Please do not quote before reviewing our current websites that need improvement.

[login to view URL]

[login to view URL]

For design reference only:

[login to view URL]

Skills: CSS, Database Development, Graphic Design, PHP, Website Design

See more: Facebook, Twitter, LinkedIn, Google+, Pinterest, Instagram, Website buildout, Graphic Design, Create Content, looking for a marketing person to find sponsors to build a custom peterbilt, build a custom website, cms, php, mysql, animation, css, html, website design, magento, wordpress, 3d modelling, 3d animation, ecommerce, bootstrap, logo design, psd to html, graphic design, illustration

About the Employer:
( 0 reviews ) Mississauga, Canada

Project ID: #16636584

138 freelancers are bidding on average $1182 for this job


Hi, We can provide you solution on MVC framework of PHP or custom solution. We would suggest you choose a framework as it will be easy to manage the users through the Admin Panel. We will provide you- - User fr More

$2500 CAD in 40 days
(448 Reviews)

Hello Employer, We have reviewed your job description and your existing websites. We have understood your requirements and glad to inform you that we will be able to do your job. As per your requirement, I am sha More

$1500 CAD in 20 days
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Yes i am having same kind of expertise which you are looking for as core developer i am good to build custom forms as you asked. can we discuss more on freelancer inbox to get detail understanding about project so bas More

$1472 CAD in 20 days
(176 Reviews)

Just checked Premium Savers website; Already contained with Joining form- JOIN NOW button; Fields are Postal Code, Policy Renew Date, Current Monthly Premium etc. So need addition of Cell fields into the first part of More

$1184 CAD in 20 days
(250 Reviews)

Hi, I have read your project details and i understood that 1. you want to create the website where in home page there would be 4 groups, Each group will have joining form. But what will be the next step after j More

$876 CAD in 20 days
(872 Reviews)

Hello there, We have assessed your requirement very carefully for insurance services website with your current website [login to view URL] and our expert team can be your precise help for the same. We are expert team of More

$2222 CAD in 30 days
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Hi, We have a team of highly skilled and experienced Website designers & developers. We are known for producing quality results in a timely manner. Having completed more than 1000+ projects, I am confident that More

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please check this link to detailed quote [login to view URL] Admin Dashboard main features (Backend) 1. Manage Employee a. Add employee roles for backen More

$2842 CAD in 50 days
(675 Reviews)

Hi, Checked the reference sites and its design I can perfectly assist you in this task. I am working as professional developer so I can perfectly assist you in this task. Please share what functions you want so t More

$1000 CAD in 20 days
(526 Reviews)

Hi, I went through from your website and from the reference website as well. I do have experience in developing for INSURANCE INDUSTRY. I can definitely provide you a similar look and feel like ([login to view URL]). More

$1250 CAD in 20 days
(537 Reviews)

Hi! we have gone through your detailed description as well as sites and have got a sense of features which need to be developed. We have a team of versed developers who has executed many similar projects and eager to t More

$1250 CAD in 20 days
(136 Reviews)

Dear Employer, My name is OM. I’ve read your brief and can see that you’d like to build a custom form based website. My team has 7 years of experience in designing and developing websites & mobile apps. Our approach More

$1250 CAD in 20 days
(388 Reviews)

Hello Sir! With the reference of your description I would like to inform you that we are the most eligible freelancer here with whom you can discuss this project. After our discussion I am sure you will love to More

$2222 CAD in 30 days
(242 Reviews)

Hi, I have read the description and moreover its clear to me. It will be easy to use admin panel and all the features you requested will be there. Please let me know in details. OUR RECENTLY DEVELOPED WORDPRSS More

$833 CAD in 20 days
(446 Reviews)

Hello, I Have gone through the description provided , but need to clarify few points. So can you please click Chat button to send a message when you are available to discuss. At present I am putting a placeholder bid More

$1250 CAD in 10 days
(44 Reviews)

Hello, I have reviewed your reference websites: [login to view URL] [login to view URL] [login to view URL] and it's something I can turn around. I will develop fully responsive we More

$850 CAD in 20 days
(100 Reviews)

Hi there, I have read your job description carefully and before going further and placing our discussion about strategical aspects of this project let me brief out you about my past projects and expertise so you can More

$1500 CAD in 20 days
(192 Reviews)

HI There, I can assist you with Build a Website - Custom Forms. I am very passionate about quality of my work, You will be pleased working with me. Let's have a quick chat to discuss it further. You can check my s More

$1250 CAD in 20 days
(88 Reviews)

Greetings! Gone through reference link, sure can revamp your existing website with custom forms. > Experienced in PSD to XHTML, Bootstrap, Ionic. > Good Knowledge in responsive layouts and parallax scrolling. > More

$1250 CAD in 20 days
(58 Reviews)

Hi There, I have checked your current websites and reference website. And I am much interested to assist you on the development of your website with fulfilling all of the required functioning very accurately and ele More

$1200 CAD in 20 days
(124 Reviews)