HTML5 Webform with signature capture

I would like a simple web form created that will capture 5 fields of data in addition to a signature field (example: [url removed, login to view]). All data (including signature) will be submitted from the form and captured in a MySQL database. This form should be designed to look attractive and format correctly for a mobile device running Android or Windows OS. The form should also display well on a PC display, although mobile will be the primary usage for this application.

Freelancer will be responsible for presentation and application layers:

- Coding of the HTML form including the database connection and Post transaction

- HTML5 using Canvas for signature capture



- Any required Javascript to make this solution work

All data layer tasks will be handled by myself.

Freelancer should comment his/her code well and code should be written in a way that it can be easily modified (additional fields added, removed etc).

Skills: CSS, HTML, HTML5, Javascript, PHP

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About the Employer:
( 54 reviews ) huntley, Canada

Project ID: #15386940

78 freelancers are bidding on average $1063 for this job


Hello. I am top 5th developer in the I just checked your project description carefully and can do it well more than you could guess :) When you are free, Please get in touch Heng. Relevant Skills and More

$1500 USD in 20 days
(474 Reviews)

Hello, I have checked your example web form and we are sure that we can provide you well formatted and well design web form.. kindly private message us to initiate discussion. Relevant Skills and Experience We are a More

$823 USD in 10 days
(772 Reviews)

Hello, I am John from AIS Technolabs. I have gone through your requirement and understand that you are looking for highly skilled, qualified, and experience Website development team for your project. Relevant Skills a More

$1237 USD in 20 days
(69 Reviews)

Hi, After carefully reviewing your job description and Signature example. We can definitely help you create a HTML5 Webform as per your needs with digital signature field added as per your needs with our expertise a More

$1250 USD in 30 days
(617 Reviews)
$1184 USD in 20 days
(591 Reviews)

Hi, we have read the description and had done many tasks similar to your requirements and we are very confident to take this ahead too. Relevant Skills and Experience Our specialties:- extensive PHP based development More

$1250 USD in 20 days
(118 Reviews)

Hello, We can do the signature capture web application, We can take all 5 fields and save to database. Please confirm the 5 fields yourself here. We are ready to start working on this form today. Relevant Skills and E More

$1000 USD in 20 days
(140 Reviews)

Thank you for looking at our bid. Would like to propose a responsive form (using bootstrap) and signature capture encoded to base64, backend to store the captured data. Request your response. Relevant Skills and Exper More

$833 USD in 20 days
(89 Reviews)

Hi, I understand your requirements and can design this HTML5 form for you, the website will be mobile friendly to all devices. Mentioned below is my Past Portfolio [login to view URL] Relevant Skills an More

$1000 USD in 20 days
(838 Reviews)

Hi, I can see that you have designed a simple form. However we will make it attractive and responsive to all devices and upon submit all data will be stored in database. Relevant Skills and Experience OUR RECENTLY DE More

$833 USD in 15 days
(411 Reviews)

Hello, I am a professional PHP developer with an experience of more than 8 years in creating and customizing PHP based websites, themes and plugins/modules. Relevant Skills and Experience I am well equipped in PHP, W More

$1000 USD in 20 days
(164 Reviews)

Hi, we have read through your requirements of creating a html5 webform with signature capture. Please check our profile and be free to contact us if any questions. Regards,

$1578 USD in 30 days
(101 Reviews)

Hey! I've gone through the description &I am 90% clear but want to discuss the project in detail. Having 10 years of expertise in website (Wordpress, Joomla, Core PHP etc) design and development. Relevant Skills and More

$1184 USD in 20 days
(139 Reviews)

Hello, We represent Sphinx Solutions, a rapidly growing Website and mobile app development company. We develop best in class hybrid and native mobile apps for iOS, Android, and Windows platforms. An upscale infras More

$1500 USD in 30 days
(16 Reviews)

I have experience in working on similar projects in the past. Let me know if you are interested in working with me. I'll show you my previous similar projects. Thanks! Relevant Skills and Experience CSS, HTML, HTML5, More

$750 USD in 17 days
(57 Reviews)

I have 7+ years in webform - website design& development with very good experience. Relevant Skills and Experience I am good in CSS, HTML, HTML5, Javascript, PHP Proposed Milestones $1000 USD - Cost

$1000 USD in 15 days
(100 Reviews)

Please have a look at our portfolio for Web design projects: Relevant Skills and Experience [login to view URL] Proposed Mileston More

$833 USD in 20 days
(121 Reviews)

I am able to create the web form with 5 fields of data with signature field which can be run on desktop and mobile devices via web application. Here is one of my sample [login to view URL] Relevant Skills and Experi More

$1000 USD in 20 days
(89 Reviews)

we have read your detail requirements about to create this project and we are ready to start it. Relevant Skills and Experience - PHP - Code Ignator - Magento - Laravel - Wordpress - Zen-cart - X-Cart - Website Desig More

$1286 USD in 20 days
(74 Reviews)

Hi! I can surely assist you in getting the form ready as per your recommendation. Let's discuss further and get started with the work. Stay tuned, I'm still working on this proposal.

$1250 USD in 20 days
(147 Reviews)