In Progress

Simple Application Form

Need some help with an online application for a new mortgage company. I know more about graphic design and minimal about PHP. I already have the website setup and ready to go - [url removed, login to view]

The Online Application page is currently setup using a third-party, and want to set it up in-house so I don't have monthly fees. This request is pretty simple: There are about 45 fields which I can provide a detailed list of. The end-user entered data in the fields needs to be sent to an email address when end-user clicks Submit. A confirmation email sent to the user's email address also would be nice, but not required. Print/Reset functionality nice, but also not required.

Pretty simple, right? In your bid, please identify which of the above named requests your price covers. I don't know what info you'll need to set-up the form (SMTP info and etc), so you'll have to specify that also.

Looking forward to working with you, and thanks for your time.

Confirmation email details. Please include the below message in the email to the user:
Subject: Thank you for your application to 1st Step Mortgage
Message: 1st Step Mortgage has received your online application. We appreciate your time, and will be contacting you shortly to discuss your opportunities.

Regards,
1st Step Mortgage

Skills: PHP

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About the Employer:
( 6 reviews ) Hattiesburg, United States

Project ID: #52193

Awarded to:

leoe

I have did it. Please see PMB.

$30 USD in 0 days
(105 Reviews)
6.6

30 freelancers are bidding on average $56 for this job

phpMaestro

Hi, We have over 5 years of experience of web designing, search engine optimisation and web programming on php and other web technologies and programmed many applications. We are confident to complete this project with More

$85 USD in 3 days
(350 Reviews)
10.0
cstl

Chandusoft is a customer-specific service oriented company has got an Professional and creative team with 6 years experience in Web design and development. We have expertise and experience in ecommerce site development More

$89 USD in 6 days
(18 Reviews)
6.9
pentium10

I can help you!

$100 USD in 2 days
(219 Reviews)
6.9
mspl

Hello I can Provide this Service tou you. let me know your budget. so we can discuss and negoiceate further! Please Contact me on PMB. So we can discuss further! please visit [login to view URL] for more info abou More

$100 USD in 2 days
(157 Reviews)
7.2
PinkCrow

I can help you now!

$30 USD in 0 days
(137 Reviews)
6.6
gafwork

ready to work. i can show u a demo of my work, of what u looking for.thanks.

$30 USD in 0 days
(28 Reviews)
6.4
sunsoft2

Can be done. Please cehck PMB

$30 USD in 1 day
(136 Reviews)
6.4
bsoist

Please see PMB for details.

$100 USD in 7 days
(40 Reviews)
6.5
sinisa

Hi,check PM...

$35 USD in 1 day
(104 Reviews)
6.2
san26

done..see more in pmb please thanks san

$30 USD in 0 days
(6 Reviews)
4.9
sdstudios

I'm +7 year experienced programmer and i would like to get your mortage website coded with the best quality.

$100 USD in 3 days
(21 Reviews)
5.1
idsnetworking

Very simple, I can do all of it for you.

$30 USD in 1 day
(39 Reviews)
5.2
NubKnacker

Please see PMB for details. Thanks.

$30 USD in 1 day
(13 Reviews)
4.0
look

Hi There, I can provide your desired solution within few hours. I'm a very good experience in PHP. Please view pvt. msg. board for more. Regards, -Suvro

$30 USD in 1 day
(12 Reviews)
4.0
webcat

pls see pmb

$30 USD in 2 days
(20 Reviews)
3.8
Soumyashahi

Hello Sir, We would like to do this work for you. Please Give us a chance. Thanks Regards Kusum

$75 USD in 0 days
(1 Review)
1.9
bissolutions

Please check PMB for details. Regards, BIS Solutions

$30 USD in 1 day
(2 Reviews)
1.6
webdoers

We're the team of enthusiastic and technically conscious highly qualified engineers, with core software industry experience. Our team have 25 man-years experience. They are serving the key position in their respective More

$90 USD in 10 days
(9 Reviews)
4.5
imranmunawar

I am willing to work on your site.I have good experience in Web Development and Web Designing You can see My work on My site. [login to view URL]

$50 USD in 1 day
(0 Reviews)
0.0
MadeinUSA

Hello SunnyWebb, Glad to assist you with your "Simple Application Form" project. Please refer to your PMB for details. Best Regards, MadeinUSA

$38 USD in 1 day
(0 Reviews)
3.5