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Building form for website

I would like to build a form for my website using Google form, or Typoform, or Wufoo (open for other suggestion). The condition and specification for the form is like that

1- The question should be in Arabic and the answers can be Arabic or English. I can help in translation for non Arabic lancer.

1- Embedding google map to allow the user for choosing a certain location and the form reads the coordinates of the point. There shoulb be field for Country, City, Distrect, street and the map zoom on the intery in this field.

2-Field for mobile number. Drop list for the countries (6 countries) and accept numbers only with certain number of digits.

3- One field for calendar and time.

There are photos for similar forms attached.

I am planing to use the form in my website and also to build a phone app based on it. Offer for developing the form to app are welcome but to budget has to be separated.

Skills: Arabic, CSS, HTML, PHP, Website Design

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About the Employer:
( 0 reviews ) Jeddah, Saudi Arabia

Project ID: #17212252

10 freelancers are bidding on average $27 for this job

benni25

Hello This is a privileged to bid on your project and happy to help you. OUR STEP IS Translation--->>Proofreading---->>>editing--->>>Final Proofreading---->>>Delivered to you Benni Translation Services is providing t More

$10 USD in 1 day
(190 Reviews)
7.1
Hurnara362

Thanks for the invitation. I can do this job. Let's talk about the job.............................................

$34 USD in 3 days
(23 Reviews)
5.6
an1566706

I read your project description ……Building form for website …..and we are very exited to work on it We are an group and we have an expert & qualified to accomplish your project in professional & unique We are More

$25 USD in 1 day
(36 Reviews)
4.9
ersumit88

Hi, It is my great honor to work on your project. I have all skills and experience for which you are looking for. Yes, I can do it. My relevant skills for the project and expertise in the required skills mak More

$35 USD in 1 day
(35 Reviews)
4.9
safaaalatabbi88

Many greetings of the day, My team and I went personally through your project description and we believe that we can help you complete this project. We are a group of people working together for last five years and More

$30 USD in 3 days
(30 Reviews)
5.0
pramodv

I am proficient in web development using HTML5, CSS3, Javascript, jQuery, jQuery UI, Ajax, AngularJS, Angular, Node, TypeScript, Bootstap, Foundation, Php, Asp.Net MVC etc. I have also have strong experience of softwa More

$30 USD in 3 days
(16 Reviews)
4.1
Prasad08

Hi, 1) Discussion before start. Before we start project, We must discuss project in details. 2) My Skills I am mobile as well as web app developer. I have more than 5 years experience of native android,IOS dev More

$30 USD in 1 day
(5 Reviews)
3.0
$25 USD in 1 day
(1 Review)
1.4
hubaibelahi

Hi I am interested in working with you on building form task. I am expert developer and have done similar work. I am looking forward for your response to discuss details. Thanks

$15 USD in 2 days
(3 Reviews)
1.6
nycer847

Hello Dear I am a web developer. am very good in wordpress installation & customization, HTML and PHP. I will create a form through JOTFORM which give an elegant look to the form. I have read all the fields you want in More

$35 USD in 1 day
(0 Reviews)
0.0