In Progress

HTML5 Contact Forms - Need 2 forms connected to our hosting platform's database

Hello, I have a few html sites that I need finish up some contact us forms for a small HTML5 website with 2 forms:

1. a LEAD generating form with basic user input fields: name, email, phone, message, policy number, and a selection of "new" or "old" claim. Also, we need to pass the type of claim based on the page the user is on the page the user is on when they complete the form.

2. A generic contact form.

These forms must generate a notification email and must write to the provided database which the client can retrieve easily as needed.

We will either be using one of these two hosts:

[url removed, login to view]

[url removed, login to view]

We are hosting a few sites and can use you for more work and future support for changes if the job is done well.

Happy bidding! Thank you in advance.

Skills: HTML5, PHP, Web Hosting, Website Design

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About the Employer:
( 58 reviews ) Miami, United States

Project ID: #14785706

Awarded to:

ajoy3freelancer

I am having more than 13 years experience of working as a web developer and having a great exposure of website Development Relevant Skills and Experience PHP,MySQL and jQuery Proposed Milestones $20 USD - Complete J More

$20 USD in 1 day
(23 Reviews)
5.0

25 freelancers are bidding on average $26 for this job

ernestbposl

Hi We are interested. We went through your post and got it clear. So for first you want if user select old it will take old claim page right? Can you explain what is content of that page? Relevant Skills and Experienc More

$62 USD in 2 days
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7.0
Sajjadhussain786

I am professional designer and developers i have a 5 year experience in that field. my recent work https://www.costaricafamilylaw.com/ https://www.costaricaretirement.com/test/ http://worldtradeexchange.org/ More

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(142 Reviews)
6.4
asifchaudhry2015

Hi there, I am php developer.I am interested to build .Just start chat with me I will show my previous work sample.Let's start chat with me thanks Relevant Skills and Experience Many year experience in web developmen More

$30 USD in 1 day
(72 Reviews)
6.3
maamekal

Hi As i have gone through your job description and undetstood that we are perfect fit for this job so please give as an chance to work for you we will definitely do it. Relevant Skills and Experience We have tremendo More

$50 USD in 1 day
(87 Reviews)
6.5
SuperbTechnology

I can connect your forms to your hosting database. Pay me after completing the job and pay only if you are satisfied with job else no need to pay. please chat with me to discuss further details.Thanks Relevant Skills More

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lakhankaushal

Hello, My name is Lakhan, I have a vast working experience in Core php website development and have developed number of Core websites in my career. Thanks Relevant Skills and Experience Php Html Css Proposed Mileston More

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aradadiya163

hello sir i am expert in php i have 5 year experience in this field you will satisfy with my work i can do this work aasap Relevant Skills and Experience php Proposed Milestones $25 USD - milestone

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admk80

I assure you would face no problem in terms of timeline, response and deliverance of high quality work. Relevant Skills and Experience PHP/MYSQL,CSS Web 2.0, Java Script, Joomla, OS Commerce, Wordpress, Prestashop, Ze More

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khizarali47

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crossedge1

A proposal has not yet been provided

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poojamishra13

Hi, i am expert developer, would like to make contact and lead generation form. Thanks

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sachinraghav

Hi there, I can do it. I can start right now and will provide it to you ASAP. Message me for more details. Relevant Skills and Experience PHP, MYSQL, Form Submission, Bootstrap, HTML5, Proposed Milestones $15 USD - F More

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rakeshkumar693

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dataentrygroups

I Agree for these jobs and I hope I seriously complete your jobs. Your requirement time. I feel free to do it with very pleasure.. Hope to work with you!! Relevant Skills and Experience HTML5, PHP, Web Hosting, Websi More

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jntpixels

We understand your requirements. Please provide us your exact requirements or give a message on chat, So that we can show you a sample in next 24hrs. If you satisfy on that then will move forward. Relevant Skills and More

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