I gang

Urgent 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

2.

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

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Om arbejdsgiveren:
( 333 bedømmelser ) Valencia, United States

Projekt-ID: #4081963

Tildelt til:

MaxSD

Hi. I'm ready to work. Regards, Max.

$140 USD in 5 dage
(23 bedømmelser)
5.6

8 freelancere byder i gennemsnit $170 for dette job

Enayet

Greetings! Clear with the requirements. Thanks, Enayet

$200 USD in 2 dage
(410 bedømmelser)
7.7
cakephp2012

hi im experimented in web developement can we start ?.Thanks.

$250 USD in 2 dage
(9 bedømmelser)
5.7
webi1

I'm interested.

$180 USD in 7 dage
(62 bedømmelser)
5.3
zbsol

More than 7+ years of experience ready to work for you.....

$250 USD in 3 dage
(12 bedømmelser)
5.2
elogix

Hi, We have worked on similar requirements earlier. Please check your PMB for more details.

$120 USD in 3 dage
(5 bedømmelser)
3.7
orgglobe

Orglobe hello

$100 USD på 1 dag
(8 bedømmelser)
3.3
ronzohan

Would be glad on doing this job. Looking forward to this task.

$120 USD in 8 dage
(0 bedømmelser)
0.0