Hello, I will need info form page with next details:
First Name __________________
Last Name __________________
Social Number _________________
Pin Code ___3 numbers__
Expire account (here I need month and year selector)
Zip Postal Code _______________
Complete action button, and after they hit complete button will recieve a message that their records was recorded.
I will need this infos to recieve on my mail on every signup to this.
Please add all this details in a nice div design, not more than 800px width and a big nice font, I will add after on my website.
Waiting for your bids!
75 freelancers are bidding on average $119 for this job
Hi, I am interested in this form configuration project. I checked your details and understand your requirements. I am ready to start. Possible to add a good design for this form. Thanks Shibu
Hey there! i see its just like form development when user's fill the form and you will receive all user's into into specific address . Let me know if we can start this job please Thanks
Hello sir, I can design and create a info form for you according to your given requirement and make it perfect. have experienced in this kind of job. recent work:- [login to view URL]
Hello there, i checked your requirement that you need info form page. I checked the all point as well. I am ready to discuss with you. please DM me. thanks
Hello i can create you form like that with html,css+php for function i will need few hours to make it look good but i am sure you will be happy and it will be easy for you to integrate it regards