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HTML5 Contact Forms - Need 2 forms connected to our hosting platform's database

Hello, I have a few html sites that I need finish up some contact us forms for a small HTML5 website with 2 forms:

1. a LEAD generating form with basic user input fields: name, email, phone, message, policy number, and a selection of "new" or "old" claim. Also, we need to pass the type of claim based on the page the user is on the page the user is on when they complete the form.

2. A generic contact form.

These forms must generate a notification email and must write to the provided database which the client can retrieve easily as needed.

We will either be using one of these two hosts:

[url removed, login to view]

[url removed, login to view]

We are hosting a few sites and can use you for more work and future support for changes if the job is done well.

Happy bidding! Thank you in advance.

Beceriler: HTML5, PHP, Web Hosting, Web Sitesi Tasarımı

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İşveren Hakkında:
( 62 değerlendirme ) Miami, United States

Proje NO: #14785706

Seçilen:

ajoy3freelancer

I am having more than 13 years experience of working as a web developer and having a great exposure of website Development Relevant Skills and Experience PHP,MySQL and jQuery Proposed Milestones $20 USD - Complete J Daha fazlası

1 gün içinde 20$ USD
(0 Değerlendirme)
0.0

24 freelancer bu iş için ortalamada 27$ teklif veriyor

rakeshkumar693

you need HTML5 Contact Forms - Need 2 forms connected to our hosting platform's database Relevant Skills and Experience Portfolio:- [url removed, login to view] [url removed, login to view] [url removed, login to view] Daha fazlası

1 gün içinde 30$ USD
(0 Değerlendirme)
0.0
1 gün içinde 15$ USD
(0 Değerlendirme)
0.0
crossedge1

A proposal has not yet been provided

1 gün içinde 25$ USD
(0 Değerlendirme)
0.0
sachinraghav

Hi there, I can do it. I can start right now and will provide it to you ASAP. Message me for more details. Relevant Skills and Experience PHP, MYSQL, Form Submission, Bootstrap, HTML5, Proposed Milestones $15 USD - F Daha fazlası

1 gün içinde 15$ USD
(0 Değerlendirme)
0.0
aradadiya163

hello sir i am expert in php i have 5 year experience in this field you will satisfy with my work i can do this work aasap Relevant Skills and Experience php Proposed Milestones $25 USD - milestone

1 gün içinde 25$ USD
(0 Değerlendirme)
0.0
ernestbposl

Hi We are interested. We went through your post and got it clear. So for first you want if user select old it will take old claim page right? Can you explain what is content of that page? Relevant Skills and Experienc Daha fazlası

in 2 gün içinde62$ USD
(0 Değerlendirme)
0.0
dataentrygroups

I Agree for these jobs and I hope I seriously complete your jobs. Your requirement time. I feel free to do it with very pleasure.. Hope to work with you!! Relevant Skills and Experience HTML5, PHP, Web Hosting, Websi Daha fazlası

1 gün içinde 20$ USD
(0 Değerlendirme)
0.0
in 2 gün içinde30$ USD
(0 Değerlendirme)
0.0
jntpixels

We understand your requirements. Please provide us your exact requirements or give a message on chat, So that we can show you a sample in next 24hrs. If you satisfy on that then will move forward. Relevant Skills and Daha fazlası

in 3 gün içinde27$ USD
(0 Değerlendirme)
0.0
maamekal

Hi As i have gone through your job description and undetstood that we are perfect fit for this job so please give as an chance to work for you we will definitely do it. Relevant Skills and Experience We have tremendo Daha fazlası

1 gün içinde 50$ USD
(0 Değerlendirme)
0.0
khizarali47

Hi, Immediate Available, Price/time after detailed discussion [url removed, login to view] [url removed, login to view] [url removed, login to view] [url removed, login to view] Let's talk in detail Relevant Skills and Experience php codeigni Daha fazlası

1 gün içinde 25$ USD
(0 Değerlendirme)
0.0
lakhankaushal

Hello, My name is Lakhan, I have a vast working experience in Core php website development and have developed number of Core websites in my career. Thanks Relevant Skills and Experience Php Html Css Proposed Mileston Daha fazlası

in 0 gün içinde18$ USD
(0 Değerlendirme)
0.0
1 gün içinde 25$ USD
(0 Değerlendirme)
0.0
admk80

I assure you would face no problem in terms of timeline, response and deliverance of high quality work. Relevant Skills and Experience PHP/MYSQL,CSS Web 2.0, Java Script, Joomla, OS Commerce, Wordpress, Prestashop, Ze Daha fazlası

1 gün içinde 30$ USD
(0 Değerlendirme)
0.0
1 gün içinde 25$ USD
(0 Değerlendirme)
0.0
TejasShyani

My Portfolio URL [url removed, login to view] Dear Hiring Manager, Why should you hire me? Strong skills: PSD, HTML, HTML5, CSS, CSS3, BOOTSTRAP, Relevant Skills and Experience HTML5 / Contact Form / PHP contact form Daha fazlası

1 gün içinde 25$ USD
(0 Değerlendirme)
0.0
1 gün içinde 35$ USD
(0 Değerlendirme)
0.0
poojamishra13

Hi, i am expert developer, would like to make contact and lead generation form. Thanks

1 gün içinde 25$ USD
(0 Değerlendirme)
0.0
SuperbTechnology

I can connect your forms to your hosting database. Pay me after completing the job and pay only if you are satisfied with job else no need to pay. please chat with me to discuss further [url removed, login to view] Relevant Skills Daha fazlası

1 gün içinde 25$ USD
(0 Değerlendirme)
0.0
asifchaudhry2015

Hi there, I am php developer.I am interested to build .Just start chat with me I will show my previous work [url removed, login to view]'s start chat with me thanks Relevant Skills and Experience Many year experience in web developmen Daha fazlası

1 gün içinde 30$ USD
(0 Değerlendirme)
0.0