Add fields to an existing online form + live valid

1. Add address input fields to an existing online Referral Form.

2. Implement Live Validation of certain input fields (when clicked out of the field)

3. Phone # fields need a mask, ex. (123)-123-1234

4. Validation upon clicking on SUBMIT

Notes:

This is a functioning form. Results get emailed to a specific email.

If you have a better way to complete this form, open to suggestions.

Time Frame - As soon as possible | ideally few hours, Max 24 hrs

## 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

AJAX, HTML, Javascript, PHP

工程 MySQL PHP 软件构架 软件测试 网络主机 网站管理 网站测试

项目ID： #3895814

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