Replicate a form on a web page
$30-250 USD
Bezahlt bei Lieferung
Need a working copy of the form on this web page:
[login to view URL]
Requirements:
- HTML5 - W3C - Responsive
- Only the form is necessary not the menus around
- See attached picture for reference, this is how the final web page should look like
(the 3 sections need to be fully working)
- Needs to be done:
a) The 3 submit button needs to be working, sending all fields to a "fictive" PHP page.
b) Sections selector must be fully working ("inscription" / "modification" / "retrait")
c) Only 3 phone numbers fields are neccessary, not 5
d) SQL injection prevention
(fields all needs to be validated for valid characters within javascript)
I should be able to upload the form to a web server and create the PHP page by myself that will accept the form submissions, and assume that all will be validated and working fine.
Thank you!
Projekt-ID: #11626990
Über das Projekt
Vergeben an:
33 Freelancer bieten im Durchschnitt $147 für diesen Job
with guranty within 24 to 48 hours i will close this project and form will be worked following all conditions that you mentioned in the project
Hi , Let’s start. I am highly interested to work on this project. I understand your requirements. I am 100% sure I can complete within timeline with quality Regards Jui
Dear Hiring Manager, Greeting! Thanks for your job posting, I would like to work on this project with you on the required conditions that you have provided in your description. I have been keenly waiting for th Mehr
Rather than long description , You can see our ratting and reviews. We have expertise developers in PHP and we can be your helping hand in your task as per your requirements. Let's discuss in Private. (*Have P Mehr
I have 6 Year Experience of Web Designing / Developing and i have completed many project successfully... I also have a great designing team .... We Work On following technology : PHP,Mysql,Joomla,Magento,Wordpress, Mehr
Hello Good Day ... I will surely Replicate a form on a web page as per your requirements I am fully available to do this task, and surely deliver you in 2 days As it will be my first task with you, As a bonus, I ag Mehr
Hello sir, allow me to complete the website. I'm have been developing websites and web applications for over 4 years now. I have worked with HTML5, CSS3, JS, Bootstrap, PHP, MySQL, jQuery, CodeIgniter and much more. I Mehr
Hi, I am interested in your project " Replicate a form on a web page ". Let's discuss more about the project and turn it into reality with your idea and our skills. We work on Website development, Mobile a Mehr
Hi! Bonjour, Salut! This looks like a straight forward project and I'd be happy to take this on and return it to you a day after starting, then I allow a couple of days in case messages back/forth are delayed. You Mehr
Dear Sir, Greetings from Niral Patel, I gone through the detailed requirement and found that you are looking for someone who is experienced with PHP to replicate a form from reference site in fact i have visited Mehr
Dear Hiring Manager, First of all thanks for creating an opportunity. Hope you are doing well. I will not propose what the maximum Freelancer do. I dont believe in copy paste Cover letter. I read your project details, Mehr
Easy task, may finish it in one day, but as noobie here i'd like to ask for 1,5 days =) As I understand you need minor fixies and improvements in form using only css and html5 - at's no problem )
System Analyst with experience in: • Analysis, design, development and maintenance of web systems. • Design, programming and database management. • Analysis and optimization of internal processes. • Development of Mehr