I gang

PHP-mysql form programming

[url removed, login to view] Contact us form - programming

simply show confirmation and client side validation

and send all requests to an email we will give you

and confirmation email to user and online message


Urgent Submit Flat Pay request programming

[url removed, login to view]

with Db insert and Db CMS login to show all requests with admin login and ability to change admin and pass in the interface

with basic show all of all records by order date Descending

and ability to change status from pending to Active by CMS admin

and also you need to send emails to user and admin when there is a new record insert

this is php/mysql and we will give you access and u create the Requests table for now

we need to program all fields and validation based on what optional or not

and i need to see all CMS

+ Validation

also when in DB also an email to send to admin and user for the request made with confirmation

also You need to make sure after user register in this form when he click the login button on home page

he will have a username and password login and when he enter he can submit the same request without requiring him to enter all his info(provider)

info again and just the actual request info with patient info

[url removed, login to view]://[url removed, login to view]

program this for all states

CA selection will show different set of documents we will give you

You need to add all states and program the next page selection based on state selection CA or all others

after this project you will program a new registration form

in a new project

Færdigheder: MySQL, PHP

Se mere: what is an interface in programming, programming test online, programming programming, programming home, programming ability test, pay for programming, order programming online, online programming test in c++, mysql php programming, interface programming, html programming online, home programming, contact form php download, cms provider login, basic programming online, access to php mysql, programming from home, online c++ programming test, c# programming online test, basic html programming, zemodo, us form, php programming download, add php contact form to html page, create admin login php mysql

Om arbejdsgiveren:
( 333 bedømmelser ) Valencia, United States

Projekt-ID: #4073824

Tildelt til:


Ready to get started right away.

$80 USD på 1 dag
(107 bedømmelser)

17 freelancers are bidding on average $125 for this job


understood your requirement and ready to start..................

$250 USD in 12 dage
(107 bedømmelser)

Hello Sir, Ready to start now. We have excellent team of programmers and designers to work on your project efficiently and complete job in time. Please check "Private Message Box" for more details. Thanks

$40 USD på 1 dag
(147 bedømmelser)

I am ready and expert in PHP and WordPress.

$150 USD in 5 dage
(87 bedømmelser)

Hello, Thanks for your post. Kindly check our PMB.

$200 USD in 5 dage
(18 bedømmelser)

PHP and MySQL expert is [url removed, login to view] 5+yrs of [url removed, login to view] to start Immediately.

$130 USD in 4 dage
(125 bedømmelser)

Hi, Please check pm for detail.

$150 USD in 5 dage
(91 bedømmelser)

Hello sir,3+ year of experience in Core php development. Ready to start. Thanks

$120 USD in 2 dage
(38 bedømmelser)

Sir, we are ready to work in your project. Plz check private message for details. Thanks

$100 USD in 4 dage
(9 bedømmelser)

See My PM Please!!!

$80 USD på 1 dag
(16 bedømmelser)

Hello Buyer, I am Noddy from central India, I have gone through with the requirement and I understand it well. It will be a great experience to work with a buyer like you .... Kind Regards Noddy

$149 USD in 7 dage
(49 bedømmelser)

Hi, Hope you are doing great!! Thanks for your time and consideration. For more details, please see your private message box. Regards, Anshika

$130 USD in 4 dage
(21 bedømmelser)

hello, let program all your forms as per your requirements...i can provide you a nicely designed and password protected admin area where you can manage all the data that is submitted. i am web developer having 3 year Mere

$250 USD in 3 dage
(16 bedømmelser)

Requirements clear

$100 USD in 2 dage
(4 bedømmelser)

Dear Hiring Manager , A Very Colorful Morning To You !!!!!! Your Requirement :- Website Updation. I saw your requirement carefully & I am damn interested to work on this project. I have done also so many proje Mere

$120 USD in 5 dage
(1 bedømmelse)

Hello, We would like to work on this with you to program form as we have done for many others in Website development. Check PMB for more details. Thanks,

$160 USD in 5 dage
(1 bedømmelse)

I am ready to work with you. Check PM [url removed, login to view]

$100 USD in 2 dage
(0 bedømmelser)

Dear sir After reading your project details,we are interested in this project and would like to bid on this project. we take care of our every client personally and has always long term relationship. we will do as Mere

$30 USD in 2 dage
(0 bedømmelser)

Hi, We have gone through with your requirements and we would like to state that we would be able to develop your project according to your exact specification immediately. God bless you. Thanks & Regards Techno Mere

$100 USD in 2 dage
(0 bedømmelser)