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Create a Sign-up Flow for Service. Needs to save data to DB at each step and allow reporting. Styles Provided.

$10-60 USD

已完成
已发布超过 8 年前

$10-60 USD

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We are looking for a developer to create a sign-up form for an insurance service. Some of the fields with be conditional so we need to utilise some slick jQuery for hiding and showing various elements of the forms. We are looking for a "wizard" style form that leads you from page to page for sign-up. We have a PDF of the form questions and a HTML / CSS template style that can be used to implement. The data needs to be stored in mySQL database and we need a back-end login to view / edit the data. The form also needs to automatically send us an email when it's been filled out. Happy to answer questions. We need this by Tuesday 1pm BST.
项目 ID: 8262844

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11提案
远程项目
活跃9 年前

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Hello, I have read your requirements,I have done this type of wizard form work earlier also. In attached image the third image is of payment so payment gateway has to be attached or only payment information. Can we have more discussion. I have 4 years of experience in php,mysql,codeigniter,wordpress,payment gateway,API integration,bootstrap,ajax,html,yii,laravel,PSD to HTML. My latest work - [login to view URL]
$75 USD 在5天之内
4.8 (137条评论)
6.9
6.9
11威客以平均价$52 USD来参与此工作竞价
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Hi, I'm an experienced web developer. I have more than 5 year experience in web development. I can easily complete your form and save data into database with in 1 day. And on form submission an email will send to you. I'm ready to start work on this project right now. I'll also setup an admin panel for you so you can check submitted data.
$50 USD 在0天之内
5.0 (160条评论)
7.7
7.7
用户头像
Dear Sir, Hope you are doing well today. I have read your job description, i am really very much interested in this as i have already done similar job and got 5 star rating. I am willing to : - Create sign up page for sign up - HTML / css template will be used Please open chat with me so we can discuss more in detail. Best Regards, Waheed Gondal
$44 USD 在2天之内
4.9 (65条评论)
7.9
7.9
用户头像
Hello, I can start by making you a demonstration hire me if you like it. Your satisfaction is my first objective trust me.
$60 USD 在2天之内
4.9 (208条评论)
7.1
7.1
用户头像
Hello we are a team of experienced php developers and designers. we have just started working together as a team of freelancers. before this, we had been working with local software companies. this is first time we are gathered for working on our own projects. we are four developers and one designer. we have more than 3 yr experience. we have worked on cms like wordpress, magento and joomla and frameworks like codeiginitor, zend framework(1 and 2) and also entity framework like symfony.. currently we are working to render some prototypes on our server, so that we can show it up to our clients and get projects. we are interested in your offer. please advise. Thanks AV
$39 USD 在1天之内
4.6 (278条评论)
7.3
7.3
用户头像
Hello, We are experts in php/jquey and done multi step forms earlier. Ready to start now. Thanks.
$60 USD 在3天之内
4.9 (225条评论)
6.6
6.6
用户头像
Dear Customer, I AM READY TO MAKE THIS SIGNUP FORM DEVELOPMENT INTERESTED IN THIS PROJECT I have four and half years of professional experience in designing, developing scripts and integrating scripts in php and mysql. I have gone through your description. I am ready to start right now. Please check reviews to know about my quality of work and dedication. most of the time i will be available to communicate through skype Looking forward for your response... I hope soon we will start this project and complete it successfully. Regards, sri
$50 USD 在2天之内
4.8 (142条评论)
6.0
6.0
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A proposal has not yet been provided
$40 USD 在3天之内
4.8 (27条评论)
4.1
4.1
用户头像
Hi, I have read your complete requirement and also seen the image file attached here. I have 9+ years experience in PHP/Mysql, HTML/CSS/JS/Jquery web development. I will give you best quality work. Let me know your thoughts. Thanks
$35 USD 在1天之内
4.6 (8条评论)
3.2
3.2

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UNITED KINGDOM的国旗
Portishead, United Kingdom
5.0
25
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会员自6月 15, 2015起

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