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User Input Module

I have a website similar [url removed, login to view]

On the front page of the above website, there is a user input module requesting user name, medical insurance, phone number... etc.

I need the exact same module that emails the content to my email address and is also recorded in a database.

Beceriler: PHP

Daha fazlasını görün: Redesign a responsive home page of AIG\ S website at https://24hoursalesplatform.com , Redesign a responsive home page of AIG\ S website at https://24hoursalesplatform.com . Let your new design have a corporate and , i would like a flier designed with the broadcast services from my website anda list of all the uses (shown on website), user input website, user input exchange rate virtuemart module, website user managment module, website user input database, website design user input calculations, website design user input, website design capture user input, sign page customers create user account entering basic information address email phone number agree terms conditionsaccount emai, outsourcing update database address email, module user input save database drupal, user input database website, free user input website design, free address email database individual, database mail free address, input form database, input form database query result view, bad public user name password database server error, dnn user input module, email content database, extract email address email outlook vba, customer input mysql database, project must front end user interface end database

İşveren Hakkında:
( 128 değerlendirme ) Bala cynwyd, United States

Proje NO: #15165442

Seçilen:

gowtham15

A proposal has not yet been provided

2 gün içinde 30$ USD
(0 Değerlendirme)
0.0

29 freelancers are bidding on average $160 for this job

hits

We have coded similar forms to save data, send as email for many sites. I am confident of delivering well. Pls share site url where this needs to be added,validations needed, values for dropdown lists Relevant Skills Daha fazlası

in 2 gün içinde126$ USD
(929 Değerlendirme)
8.9
extreamcode

HI Sir/Madam, I can assist you with "User Input Module", I have experience working with "similar Development". Let's have a quick chat to discuss it further. Relevant Skills and Experience I have been in this "Develo Daha fazlası

in 3 gün içinde155$ USD
(60 Değerlendirme)
7.4
NickolaS

HI, I can make this form for user details within a day Соответствующие навыки и опыт 12 years PHP Предлагаемые промежуточные платежи $100 USD - full escrow

1 gün içinde 100$ USD
(340 Değerlendirme)
7.5
webXpart

Hi, I checked your project details and checked the example site. I understand your requirement and i confident on it. Please come online and give me your site link so i can check and start working. Please check m Daha fazlası

in 3 gün içinde66$ USD
(49 Değerlendirme)
6.6
in 10 gün içinde243$ USD
(77 Değerlendirme)
6.3
BizzCreator

Hi, We are a team of professional web designer/developer, we are experts in Wordpress, Joomla, Ecommerce, Shopify, PHP, MySql, Responsive, Bootstrap, HTML 5 / CSS3, Landing page, PSD to HTML and etc. Relevant Skills Daha fazlası

in 3 gün içinde155$ USD
(45 Değerlendirme)
6.0
anamaria1979

have a website similar [url removed, login to view] On the front page of the above website, there is a user input module requesting user name, medical insurance, phone number... etc. I need the exact same module Daha fazlası

in 0 gün içinde100$ USD
(142 Değerlendirme)
6.5
infowider11

Hello,I m a Web and App Developer cum designer with 7 years' of exp.I just go through your requirement, i m showing interest in your project bcoz i m doing same type of job , i can show you demo Relevant Skills and E Daha fazlası

in 15 gün içinde555$ USD
(42 Değerlendirme)
6.0
shafayat671

Hi, I can make your emai content. It will take 3 days and my budget is $155. Pls ping me for more discussion. Thanks, Shafayat. Portfolio: [url removed, login to view] Relevant Skills and Experience Language: PHP, HTML, CSS, My Daha fazlası

in 3 gün içinde155$ USD
(47 Değerlendirme)
5.7
XpertSolNet

Hi, I have already developed many websites and very much proficient in starting this project with you according to all your specifications. Wasi Relevant Skills and Experience [url removed, login to view] http://fridaypos. Daha fazlası

in 3 gün içinde250$ USD
(21 Değerlendirme)
5.5
vismat

I have read your job description very carefully and understood that you require an web developer. Relevant Skills and Experience I have more than 6+years’ experience in Web Design & development Like WordPress, Woocomm Daha fazlası

in 3 gün içinde166$ USD
(16 Değerlendirme)
5.4
ruwanjayawardena

Hi..Have a Good Day, Pls Contact me via freelancer chat.I need to discuss more about your project requirement in detail. I'm standalone custom php developer. Thank you. Relevant Skills and Experience # Proposed Miles Daha fazlası

in 3 gün içinde155$ USD
(25 Değerlendirme)
5.7
brianconey

HI there? As a highly skilled PHP Web Developer, I read your posting for a new PHP Web Developer with interest. So I am sure I can accomplish your project. With more than 8 years’ experience as a PHP Web Developer, Daha fazlası

in 3 gün içinde155$ USD
(39 Değerlendirme)
5.6
wsafreelancer

HI! I m interested to make follow website user inpput modules etc as you mention in project descriptions once contact me i will start work immedialtey and complete it as your requirement Relevant Skills and Experienc Daha fazlası

in 3 gün içinde150$ USD
(71 Değerlendirme)
5.4
saritamahar

Hello, I reviewed your reference site and I assure that I can create an exactly same module on your website. I can complete that work within 2 days. Please enable the chat for further details. Relevant Skills and Expe Daha fazlası

in 2 gün içinde100$ USD
(31 Değerlendirme)
4.7
chnabeel002

Dear Sir, We have evaluated the project in detail and we came up with a proposal that is appropriate for your needs. With our aim to help you achieve your project’s goal. Thanks. Relevant Skills and Experience PHP, Daha fazlası

in 3 gün içinde155$ USD
(17 Değerlendirme)
4.4
rockstardev3

Hi. I have reviewed your project and can do your job within 3 days. I will show good skills. Relevant Skills and Experience php Proposed Milestones $155 USD - one time.

in 3 gün içinde155$ USD
(14 Değerlendirme)
4.2
in 3 gün içinde155$ USD
(12 Değerlendirme)
4.2
Rekhathakur

I gone through website [url removed, login to view] I completely understood your requirement I have already designed and developed many Website with required functionality and features can start now. Relevant Skills a Daha fazlası

in 3 gün içinde155$ USD
(4 Değerlendirme)
4.1
JinYongbin

I have a lot of experience in development of project like what you want. If you hire me, I will do my best to develop your project wonderfully in a short time! Relevant Skills and Experience I have more than 5 years Daha fazlası

in 3 gün içinde155$ USD
(3 Değerlendirme)
3.8