In Progress

Form on Web Page to capture customer data

web developer that can create a form, which will capture clients data and fire an email according to rules created in a database The form will have a few fields that are shown based on rules created in a database. I need a backend page to view, add, edit entries in the database, the Full specification is in the attached document...PLEASE NOTE the document is in Portugues AND ENGLISH (in RED)

DO NOT MAKE ANY OFFERS IF YOU CANNOT TAKE ON THIS JOB WITHIN THE AGREED TIME. Please also read the full doc before making an offer Thanks

Skills: HTML, Javascript, MySQL, PHP, Website Design

See more: html form template, html form action, html form post example, html form method, html form example, html form input types, html form drop down, html form design examples with code, create web page capture data access, sql data input form web page, php web page capture, free data entry form web page, javascript calculate form web page, htaccess login form web page, view form web page

About the Employer:
( 2 reviews ) Santos, Brazil

Project ID: #16180369

Awarded to:

$25 USD in 1 day
(5 Reviews)
4.5

5 freelancers are bidding on average $23 for this job

jayesh793

Greetings, It’s our gladness to associate with you on this project. I am a web developer with 6+ years of experience in plenty of verticals. Relevant Skills and Experience Some of my skills are mentioned below: HTM More

$23 USD in 1 day
(14 Reviews)
4.5
manjeet2017

Hi, I am Word press Expert. All kind creates a website. I have good experience in website design & development. Please initiate chat to discuss further.

$25 USD in 1 day
(19 Reviews)
4.2
nicrosoft

I've read your requirements carefully and I'm confident to make it as per your requirements. Money doesn't matter for me, I just want your satisfaction from my work. It's always my first priority to full fill your re More

$15 USD in 1 day
(3 Reviews)
2.1
$25 USD in 1 day
(4 Reviews)
1.9