We need a very simple php script - only the mockup - no database or other functionality, no backend, no cms or anything else needed.
Content (left:Text, right: input field + send button)
after the send button was hit, go to overview page. here we have one button which is a link to another page.
Text and a "apply" button
When clicked on the button "Apply", go to next page with a success message.
Here we need 20 input fields. The fields must be validated for the exactly right answers.
Then the form must be sent by email to a given address.
Success page after successfully filling out the form.
input field to leave the emailaddress (no sending, no database storage).
who can start right away and deliver within the next few hours?
9 freelancers are bidding on average $95 for this job
Though I am new to freelancer , I have 2+ experience in PHP and other web technology . I am sure you won't get disappoint , and you will be happy with our service and quick and accurate development.
Highly experience programmer and designer are here. We provide you quality work on time according to your requirement with 100% satisfaction. Please see pmb for more detail. Thanks.