I need a nice webpage with an application form for personal loans. The form has about 40 fields which need to be validated. Validation will be to check the presence of required fields and to check that certain fields are numeric. The form has some conditional elements which should be hidden/displayed using javascript depending on the value of other fields. For non-javascript browsers, all form fields should be shown. Conditional elements should only be validated if appropriate. Validation should be done client AND server side using PHP. The completed form is to be mailed to an email address I will provide. Above all, the form needs to have a very professional and highly polished look. HTML coding should be clean and CSS should be used for styling where-ever possible. This is quite an urgent project so estimated time to completion will be one of the factors I use to decide on a winning bidder. Please provide screenshots of other sites you've developed as creative/design ability will be the other major factor. Thanks for reading and good luck.
## Deliverables
1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.
2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):
a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.
b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.
3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).
## Platform
LAMP