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PHP-mysql form programming - repost

[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: Grafisk Design, HTML, PHP, Web Design

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Om arbejdsgiveren:
( 0 bedømmelser ) Gurgaon, India

Projekt-ID: #4074355

21 freelancere byder i gennemsnit $193 for dette job

NetzPro

Dear Sir, We would love to get this opportunity of working with you. We can guarantee that you will not regret your decision if you select us to execute this project. Regards NetzPro

$250 USD in 5 dage
(332 bedømmelser)
8.4
manpreet

This would be done.

$200 USD in 5 dage
(210 bedømmelser)
8.2
toinnisfree

pls chk pmb

$220 USD in 4 dage
(534 bedømmelser)
7.9
WebBizSolution

I run European website design firm with years of design experience personally developing over 300+ websites. I can also provide a list of references from past customers if you'd like. I'm not the cheapest you'll find, Mere

$385 USD in 3 dage
(65 bedømmelser)
7.1
webzin

Hi Have Gone through your requirement and understood, we are very sure that we can do your needs with your entire satisfaction. We have left a PMB for you plz feel free to have a look over there. Thnx Ram Webzin I Mere

$250 USD in 7 dage
(91 bedømmelser)
6.8
adpt

Hi I went through your all the 3 Modules requirements and the website pages. I will be able to do the modules in php and mysql. Looking forward to hearing from you Thanks Adipti

$250 USD in 4 dage
(59 bedømmelser)
6.5
kalidass678

ready to start

$220 USD in 4 dage
(70 bedømmelser)
6.3
expertonphp

HELLO, I HAVE CHECKED THE WEBSITE AND I AM NOT SURE WHERE I HAVE TO INSERT CONTACT US PAGE. PLEASE ELABORATE IN PMB. THANKS!

$200 USD in 10 dage
(80 bedømmelser)
5.8
mgraph

Hi, please check inbox, thanks

$250 USD in 19 dage
(77 bedømmelser)
4.6
lokjaiswal12

Hello, I can program all this forms.

$170 USD in 4 dage
(38 bedømmelser)
4.6
codeware1

Hello Sir, Hope you are well and doing good!!! we are eager to work with you.We are ready to start the project right away. Codeware is a website development company providing professional website design, website develo Mere

$200 USD in 7 dage
(17 bedømmelser)
4.6
demanddeveloper

Skilled WP developer, can deliver you the required fix, and all other admin work you require, just let me know for start.

$200 USD in 4 dage
(5 bedømmelser)
3.9
amin6106

Ready to start, i have over 6+ years of experience in php, mysql, css, facebook apps, html etc for details read my message

$120 USD in 3 dage
(5 bedømmelser)
3.6
annaijobs

Hi, This is jeni from annaijobs We could able to work on this project. A very few samples are drop down over here for your reference: 1 Ecommerce http://www.argansilk.com/ 2 Members only http://million Mere

$180 USD in 10 dage
(4 bedømmelser)
3.6
lexmat

Dear Sir, i have 4+ years experience and uptodate with php .please see PMB Thanks.

$199 USD in 20 dage
(5 bedømmelser)
3.0
simeonovsl

check pm for more details about me and my skills

$160 USD in 4 dage
(1 bedømmelse)
2.5
punuka

I have 6 years experience in web development using php and mysql. I am ready to work with you.

$100 USD in 10 dage
(1 bedømmelse)
2.4
renathy

Hi! I can do this. 5 years experience with PHP. I can read, understand and modify existing code quite fast. Please, contact me.

$200 USD in 20 dage
(1 bedømmelse)
1.4
aatifaziz1

Dear Sir, I have experience in Website developement (PHP5,ASP.NET,HTML5) Especially in Content management Systems (WordPress,Joomla, CMS , CVM) and having ability to give back you fine results. I also have good his Mere

$200 USD in 25 dage
(0 bedømmelser)
0.0
jevin94

respected sir, I am applying for your project. I have very much experiance about your project because I have also website and running sucessfully for students.

$30 USD in 2 dage
(0 bedømmelser)
0.0