create another one page simple php form

Hi, As discussed in Freelancer message box. I have already started working on creating a form for you. You can now hire me and fund.

Hi I have reviewed the document. We could do it and implement it with Stripe process. I will give you the long time best support. Please check my profile for more details. Thank you.

Hi, I'm PHP expert. All kind creates a website. I have good experience in website design & development. Please initiate chat to discuss further.

Hello, i have read your job description and fully understand your requirements. It looks like I’ll be the perfect candidate for this job because I have hands on experience in this field. Could you provide us more details about your needs? I will make all changes which you want until you'll be satisfied. Your website will be full responsive for all devices (desktops, tablets and mobiles) and pixel perfect implemented.

A proposal has not yet been provided

Hi sir , I'm zubair . i'm a web developer and designer . I have done lot of work in web development . I have great skills to complete you task. I also have 3 years of experience in web development . Kindly give me a chance to showcase my skills to you . I shall be very thankful to you.

Hello there, I have seen your document in MS Words, what you want is : Membership Type: Choose Membership Type: (Drop down menu with two options) Player. Non Players i.e. managers/mentors/club officials etc. Forename: Input Name (Allow for Irish inputs i.e. fadas) Surname: Input Surname (Allow for Irish inputs i.e. fadas) Date of Birth: Input Date: this format 01/01/2017 (this only applies to Membership Type>Players. No need for Date of Births for non players i.e. me and the other old folk!) Address 1: Input Txt Address 2: Input Txt Address 3: Input Txt County: Default to " Cork/Corcaigh" Don't give any option to change. Mobile Prefix: Drop down menu 083 085 086 087 088 089 Mobile Number: Enter a 7 digit number. (send error if no mobile is inputted) Email: Input Txt (mandatory) Facebook: Input Txt (not mandatory) Twitter: Input Txt (not mandatory) This is simple form, and i guess i can finish it today immediately. Also provided 100% responsive on mobile and other device I will give my best to you until you satisfy. please contact me ASAP for more details. best regards Ammar

A proposal has not yet been provided

A proposal has not yet been provided

I have experience of more then 5years, I can make it as per your requirements, detailed discussion can be done on chat box. thank you.

I can complete this easily in 1 day with no errors and working. I am self-motivated, creative web developer and have the necessary experience to ensure membership type and information form is working perfectly.

Hello, I can easily make that form for you for only 10$. I am working for about 2 years in Web&Mobile Developing. You can check my portofolio to see my latest projects that I made. Best regards, Zamfira Andrei

Would be delighted to work on this project. Can implement in core PHP or Laravel as required.

I can deliver the best in less time and low budget with great efficiency and can do as much number of reviews free of cost. I am a full time Php Developer and have more then 3 years experience in core Php and all its framework, plus is that I worked as a UI/UX so I can give a good design too