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Simple PHP and mysql add fields

I need help setting up a small extension of our website. This is whats required:

(1) A link with a unique ID (integer) is activated from some webpage anywhere. I provide the ID's and You define how the link shall be defined.

(2) When the link is clicked, the ID is stored (somewhere).

(3) A form is opened where the user can fill in some information. It will be something like 3 radio buttons of five values each and a numeric field. I provide a raw form.

(4) When submit is clicked, in a mysql database ads (with php) a new record that contains the ID, the answers from the form and some basic information like time, IP and so.

(5) Install this in our website. I give Ftp and MySQL access.

(6) Answer some basic questions about the project.

技能: HTML, MySQL, PHP

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关于此雇主:
( 3个评论 ) Malmö, Sweden

项目ID: #978168

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gracebasilior

Hi, I can do this for you!

$40 USD 在0天内
(75条评论)
5.6

39 威客就此工作平均出价 $78

sureshdevi

I can do this work. Thanks, Suresh

$52USD 在1天里
(1089条评论)
7.9
inzaghi2006

Your project is very clear and simple. I give you the best price, please view PM

$30USD 在1天里
(223条评论)
7.4
humashahid80

Hi, Immediately ready for your work, please check PM for details.

$60USD 在1天里
(93条评论)
7.5
neoconcepts

let's do this.

$50 USD 在2天内
(156条评论)
7.5
expertspk

Hi, can be do it , let's start. Thanks

$50 USD 在2天内
(143条评论)
6.9
shambhal

Hi there I am [login to view URL] check inbox Regards Shambhal

$50 USD 在3天内
(209条评论)
6.6
acesolution

Lets do it .... thanks

$50USD 在1天里
(121条评论)
6.7
kev2me

I work with PHP and mySQL daily, so I can set up this form for you.

$50USD 在1天里
(95条评论)
6.2
PHPsoldier

DEAR SIR, EXPERT CODER HERE. CAN DO IT. MANY THANKS....

$30USD 在1天里
(132条评论)
6.5
desireds

We Provide what you desire...

$400 USD 在40天内
(87条评论)
6.3
webmagics

Ready to start on [login to view URL] see PMb for details. Thanks

$175 USD 在2天内
(49条评论)
6.3
grtsolutions

Hi, how are you? Please, see PM.

$60 USD 在0天内
(65条评论)
5.7
getndone

Please check pm

$250 USD 在5天内
(42条评论)
5.5
danieloraca

count me in :)

$50 USD 在0天内
(53条评论)
5.3
itambassadorz

You have pmb. thanks

$40 USD 在0天内
(15条评论)
4.9
gyanverma

please check pm

$60USD 在1天里
(62条评论)
5.1
Acmesoftsolution

Please check pmb. Thank you.

$50 USD 在2天内
(51条评论)
5.7
minbha

Hi I have gone through requirement, and ready to start now. Thanks

$50 USD 在2天内
(10条评论)
4.1
AndersonDunai

Hello, Sir. I will do this. Please see the PM. Thanks!

$60USD 在1天里
(19条评论)
4.2
Abdulaziz01

Hi, i can do this, lets start. please check PM.

$60 USD 在0天内
(4条评论)
3.7