Create a Wordpress Template Form

已取消 已发布的 Feb 26, 2015 货到付款
已取消 货到付款

I need a wordpress form that allows data input and is emailed to administration.

Here are the elements of the form:

org name

company address (use the google map showing lat/long)

pointofcontact

details

url

time

email

phone

fax

upload logo

services(multiple selections can be chosen from excel file attached)

are you a veteran owned business (yes/no)

add credit card info to the form. card no./billing address/city,state,zip/exp date/sec code/ also add place for electronic signature

Also add in a dropdown these choices of programs: Promote Publications Monthly - $9.99/Promote Publications Annual - $99.99/Create Events Monthly - $14.99/Create Events Annual - $49.99/Advocate Profile (non-profit/small biz) Monthly - $19.99/Advocate Profile (non-profit/small biz) Annual - $199.99/Advocate Profile (govt/corporations) Monthly - $49.99/Advocate Profile (govt/corporations) Annual - $499

CSS HTML PHP WordPress

项目ID: #7209321

关于项目

35个方案 远程项目 活跃的Feb 26, 2015

有35名威客正在参与此工作的竞标,均价$418/小时

fastworkontime1

A proposal has not yet been provided

$378 USD 在10天内
(971条评论)
8.8
sandyIN

A proposal has not yet been provided

$515 USD 在10天内
(538条评论)
8.9
gyaseen1986

A proposal has not yet been provided

$315 USD 在10天内
(1096条评论)
8.8
rabbul

Hi I am confident to do this job. ========================================================================= thanks

$277 USD 在3天内
(579条评论)
8.3
malviyamanish

A proposal has not yet been provided

$400 USD 在10天内
(306条评论)
8.1
TheExertion

Hello Good Day, We have read your project and absolutely confident to say that we are the right team for this job. We will make the form with all the fields as you required. As there are payment options and credi 更多

$263 USD 在3天内
(222条评论)
7.7
majma01

A proposal has not yet been provided

$263USD 在1天里
(268条评论)
7.3
narendra1

I will build the form with all mentioned fields. I will start work right now. I will provide you quality work in timely manner.

$526 USD 在8天内
(132条评论)
6.8
sunil8986

Hi There, Kindly consider our bid for your project. We will not let you down.. WordPress is our Expertise Area.. :) Thanks, 2Swebsolutions

$526 USD 在12天内
(222条评论)
6.9
suntechnology47

hi I understand the form that you want, I have also done similar thing to another client and I totally understand your project

$250 USD 在3天内
(55条评论)
6.3
sisodiakaran

Dear Employer, Let me introduce myself as an expert software programmer and am really interested in working with you. I have done many offline jobs. I am willing to complete your job at a very fast pace and at a min 更多

$275 USD 在5天内
(20条评论)
5.3
yaroinfo

A proposal has not yet been provided

$333 USD 在3天内
(32条评论)
5.4
Geniusteam

A proposal has not yet been provided

$1134 USD 在20天内
(3条评论)
4.6
wavetechline24

Dear Sir, I have analysed your requirements and can work on it. I can guarantee quality work on time with testing and support.I can provide you with attractive designs as per your requirements. Please PM for fur 更多

$350 USD 在4天内
(19条评论)
4.2
webmagicwizards

Hi, We have studied your requirement and we will provide you wordpress plugin which create a wordpress template form through shortcode . After submitting the form a email will be sent to administration and also admi 更多

$250 USD 在10天内
(11条评论)
3.8
CybernateS

Hello, We have over 6 years experience in WORDPRESS Development on both Linux and Windows platforms. We having our own designers for handling any type of designs and html5 work. Our team having experts who are Mic 更多

$611 USD 在20天内
(9条评论)
3.4
CoreCoders

I am ready to get started with this task right away and I can assure you a guaranteed solutions. Let’s discuss in PM for more details. Thanks!

$473 USD 在4天内
(8条评论)
3.1
markobest

Hi, Ready to help you right now. We specialize in Wordpress and php, please refer to pmb for more details. Thanks

$300 USD 在10天内
(15条评论)
3.0