Input form on existing website

已完成 已发布的 Jan 22, 2014 货到付款
已完成 货到付款

We need to add a form to our existing website that will post the results to a web service on the visitor presses submit.

Existing website it [url removed, login to view] we need to add this functionality to the contact us page of the site.

The fields that are required are

First name

Last name

Gender

State

Postcode

Phone

email address

We need verification on each of these fields to ensure the information is correct before passing to the web service.

Additional information on the exact formats will be provided once we have selected a freelancer.

平面设计 HTML 网站设计

项目ID: #5350050

关于项目

17个方案 远程项目 活跃的Jan 23, 2014

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qualifydeveloper

ok i am here to create this form and validate data on your requirements i am here to start right now i am a honest person i dont take money until ll done the work 100% thanks

$55 USD 在0天内
(57条评论)
5.4

有17名威客正在参与此工作的竞标,均价$55/小时

prayastechnology

Hi sir this is a small task and we can do that job with all filed validation in one day. For more information please reply us. waiting for your reply. thank you

$30USD 在1天里
(234条评论)
7.0
VnBestSolutions

Dear Sir, We claim to get it done perfectly for you EXACTLY in the way you want it - Kindly give we a chance and we will prove myself - Ready to prove our words, let's get it done right away and I mean RIGHT AWAY !! 更多

$147 USD 在3天内
(158条评论)
6.9
seopro212

Hi there, Please allow me to help you with the creation of the form. I can start immediatly and will have the things done exactly like you want. Lets discuss this more and get it done. Regards, - Syed

$50USD 在1天里
(208条评论)
6.4
righwayinfo

Hello Sir, I have 4+ years of experience and expertise in website design and development. Strong knowledge in PHP, MYSQL, HTML5, CSS3, JQUERY, Wordpress. i have developed lot of website with Wordpress. Our types of wo 更多

$39USD 在1天里
(20条评论)
4.7
stevebryant

Hi, I can work this project. Ready to start now. What web service will you use for this? Regards, Steve

$50USD 在1天里
(27条评论)
4.2
smrutiran

Hey, i have read your job posting. I can do it within 2 hour. i can start work immediately once you have hired me. please let me know if you are interested further. Thanks Mishra

$55 USD 在0天内
(5条评论)
3.0
rafaelnadal

hello i am software and web developer . I have more than 1 year experience in this field so you can consider me for this job. Thanks i will wait for your response

$50 USD 在4天内
(5条评论)
3.7
CodeClimb

This is a quick job that we can complete for you. We can get it done as soon as the gig starts. We are a new web development company on freelancer and we are looking for a small project like this to get our reputation 更多

$30USD 在1天里
(0条评论)
0.0
yoelfme

La propuesta todavía no ha sido proveída

$30 USD 在3天内
(0条评论)
0.0
yasirijaz

Sir i am ready to start your work and i am pretty sure that i will provide you your contact form in few hours with all the functionality you need This is a rough work of mine for just showing you that I know what I am 更多

$45USD 在1天里
(1条评论)
0.6