In Progress

Form Capture with Login Dashboard

We want to develop an online form hosted in Cpanel Linux in our servers. Maybe using PHP and MYSQL.

ONLINE CAPTURE FORM

1) Basic CONTACT information FROM USER

2) Services collected

- Ability to REPEAT and ADD services (duplicated same fields into more submissions)

3) Agreement execution with image upload field and scroll box with terms and conditions

4) The ability for Visitor to login with e-mail and password, to track submissions and make edits

5) The ability for ADMIN to e-mail user/visitor pre-filled form to finish remaining and sign

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

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About the Employer:
( 0 reviews ) Fort Lauderdale, United States

Project ID: #20378279

Awarded to:

leopedia

Hello ok, we can make in PHP and MySQL I check your attached files though have some questions. I know you need a form where you need customer panel and backend panel to control and tracks things check our review we alw More

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44 freelancers are bidding on average $548 for this job

AzzkaNoor

Greetings. I am confident that I can implement this project as I have read all of the aforementioned details. There are some questions to ask so the clarify some doubts. Therefore, you are requested to message me. I More

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gauravmittal1989

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isyncevolution

I have read your job description and completely understood. I have ready front and admin structure iSyncEvolution LLP - IT consulting & enterprise software solution Company 12 Yrs. Exp. in Web Development , Web Des More

$1000 USD in 30 days
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manojkhichar

Hello, Greetings of the day! Could you please share the task list and specs of this project so that I can analyze them and can share my understanding over it, On that basis, I would be able to share estimate. I'm int More

$1000 USD in 20 days
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technovicinity

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$1000 USD in 20 days
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upbeat

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$450 USD in 10 days
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6.8
alexwmsoft

Hi there, I am a Serious website developer, and I have 6 years experience in developing website using HTML, CSS and PHP and several frameworks such as Wordpress, Laravel, Codigniter, django and so on. I read your job More

$550 USD in 7 days
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techplusintl

Hi there, Greetings from TechPlus! I've reviewed requirements & ready to develop Form Capture with Login Dashboard as per give 5 points. 5+ Years Expertise in : CMS (Wordpress, Magento, Shopify, OpenCart, Joomla, D More

$400 USD in 7 days
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Bluesky122

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6.2
navjootkaur

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honeyocs803

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irvingdev14

Hi I see that you already have the design for the form, that will help a lot as a base design wise for the other pages, I can create the functionality you want with just PHP and Mysql here you can see some of my most r More

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manjeet2017

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5.6
dreammate0621

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$550 USD in 7 days
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5.4
joshiprakash

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$333 USD in 5 days
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technologybeach

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KimHyokJun

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zpedia723

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julienmoutier

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albertpopov46

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