In Progress

Simple PHP Contact & Quote forms

I'm working on a project - mostly just the design part of a website, and I'm not too fast at PHP programming, and just need 2 simple forms inserted into a pre-designed page - basically just pasting the script into a table.

For the quote form I need the following fields:

Name

Company

Address

City

State

Zip

Phone

Email

Comments

description of how we can help text field

and have the information be sent to a set email address.

For the Contact form I need the following:

Recipient (selection box chooses from a list of names - maybe 15 names with email addresses the form will be sent to)

Name

Company

Email

Address

City

State

Zip

Telephone

Fax

Comments

(i would like email and name and comments to be required fields)

I'd like these as soon as someone can get them to me if possible so just let me know what your time frame needed is, and I'll work with it... :) I'd send you the layout html file to you so you could insert the information, and i'd need it to be something i could just drop into the directory and have it be good to go. If you have any questions, feel free to email me.

I also need a survey page that has several radio option buttons - such as quality of service (1 2 3 4 5) and 1-5 are clickable options with radio buttons to choose the level of quality - and basically it would read back in the email as "quality of service: 3" or whatever # they chose. It would have about 12 fields in it.

Skills: PHP

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About the Employer:
( 2 reviews ) San Francisco, United States

Project ID: #21792

Awarded to:

codingdesign

Hi there. I could have this done for you within the hour. I am available all hours for the next 48 hours. Thanks, Michael

$30 USD in 1 day
(1 Review)
1.0

44 freelancers are bidding on average $51 for this job

best1

Hello! It can be done in few hours. Regards, Team Panacea

$30 USD in 0 days
(177 Reviews)
9.5
cheapestandbest

We can make you an online form builder so that in future also you can create as many forms as you want. regards

$100 USD in 1 day
(579 Reviews)
8.7
manpreet

Dear Sir, I will make all the 3 forms, including the survey page form, in just 1 day, best regards.

$35 USD in 2 days
(227 Reviews)
8.3
infoway

we are ready to complete within next 2 hours. view PMB.

$50 USD in 0 days
(127 Reviews)
8.2
netdevbiz

We will finish the job in 2 [url removed, login to view] to start work now.

$45 USD in 1 day
(106 Reviews)
7.8
AtlanticSoft

Hello, we are ready to start now on your project.

$60 USD in 0 days
(167 Reviews)
7.8
siddhartha1

Can do it easily,thanx

$100 USD in 3 days
(35 Reviews)
7.6
brandmantra

Greetings, Thanks for posting your project. We understood your requirement and we would like to discuss with you on those through PMB. Kindly view PMB. Many Thanks Jennifer

$100 USD in 2 days
(13 Reviews)
6.6
PinkCrow

I can help you!

$35 USD in 1 day
(137 Reviews)
6.6
viaden

Dear Friends! We've gone through your description and are ready to work out the required forms professionaly and in time. Our company has been in the sphere of web development and programming for 10 years already. Suc More

$100 USD in 2 days
(3 Reviews)
6.2
eyrieteck

Hello Sir/Madam, U just send ur html pages in PMB, I will give u in just a hours.....if u need anything extra..that also can be done within a hour. Thx

$40 USD in 0 days
(50 Reviews)
6.1
CruzDelSur

Please, show send me on of your html files, i will do a free demo for you and install it on my server so you can test it. Regards CruzDelSur.

$50 USD in 1 day
(26 Reviews)
5.6
bornalex

Can be done ASAP. See PM, please.

$30 USD in 0 days
(30 Reviews)
5.6
nidle

Hello, We have examined your request and would be glad to help you with the programming part for the website. More than 7 years of experience in the field of web technologies and programming help us achieve outstan More

$100 USD in 3 days
(2 Reviews)
4.9
jimkey

Hi. I'm able to take care of it.

$40 USD in 2 days
(9 Reviews)
4.5
remtools

hello sir, send me the layou/designed pages i'll have it done .

$30 USD in 1 day
(5 Reviews)
3.8
webcat

i can do it

$30 USD in 1 day
(20 Reviews)
3.8
nairhr

Hi, I can do this in 1 day! Please check PMB for details. Thanks and regards, HN

$50 USD in 1 day
(8 Reviews)
3.4
ebusiness2

Our bid is for really very high quality work for your Simple PHP Contact & Quote forms that will be made to be upgradable in case you need some upgrades in future. We will always be available for upgrades. Our bid incl More

$100 USD in 2 days
(3 Reviews)
3.4
apraj

[url removed, login to view] -- Impressed!!! Lets continue further through PMB.

$100 USD in 1 day
(2 Reviews)
2.8