Submission Form

I am looking for a submission form to be created. I have some people doing some calling and just need them to fill out a submission form that can then to emailed to two people. #1 person will be custom for each submission. #2 person should receive all submissions

The recipient(s) of the lead form should receive a similar looking lead sheet within the body of an email as attached.

I would guess a username and password access would be a smart thing to do so SPAMMERS couldnt attack the form.

Færdigheder: Elektroniske Formularer, PHP, Web Design

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Om arbejdsgiveren:
( 4 bedømmelser ) Springfield, United States

Projekt-ID: #5995816

21 freelancers are bidding on average $140 for this job


I completely understand your requirement. We would need Login/authorization feature (if not already present on your site). When a member is logged in they would be able to fill out the form as declared in the post and Mere

$157 USD in 7 dage
(128 bedømmelser)

I have read your project details, and I am interested in offering my services. I provide 100% satisfaction guaranteed on all my work. Milestone is required to begin; to be released when the job has been satisfactor Mere

$150 USD in 3 dage
(776 bedømmelser)

Hello, i can create the form for you, please check my reviews, you will get quality work, ready to start and deliver in 1 day.

$147 USD på 1 dag
(166 bedømmelser)

Hi, I have read your post and understood your requirement. I have good experience in handling Magento/Woocommerce/ VirtueMart/Joomla/ HTML5/CSS3/PHP/ Drupal/Yii framework/Javascript/MySQL/ Kindly go through Mere

$421 USD in 4 dage
(117 bedømmelser)

Greetings, I reviewed the form and read your details carefully. I will do it with protection and best possible approach and easy to use way. -- Important Questions -- 1 - Will it be a form on a public website OR Mere

$106 USD in 2 dage
(467 bedømmelser)

1. Vollks Australian Online Store In these days we are complete re-designing and reimplementing an online store for our Australian client in which we are using X-Cart latest stable release to implement his all require Mere

$242 USD in 7 dage
(108 bedømmelser)

Hi there, Ready to deliver this submission form including user log in. If needed I can also allow adimin to manage users. So you will be able to log in as admin and create users that will access the submission form Mere

$100 USD på 1 dag
(117 bedømmelser)

A proposal has not yet been provided

$89 USD in 3 dage
(126 bedømmelser)

Hello and thank you for a chance to offer you my services, let me offer you a solution of fillable pdf form design, which can incorporate all the required functionality. I can program the Email Submit button within Mere

$99 USD in 3 dage
(59 bedømmelser)

Hello, My name is Justin and i have reviewed your project details and i can assist you with getting your project completed. I have over 7+ years in the web development industry and i would like to get started on your p Mere

$244 USD in 3 dage
(130 bedømmelser)

Greeting!!! We are from Dzire Infosoft Pvt Ltd, we have Gone through your requirement and understood, we are very sure that we can do your needs with your entire satisfaction. What we will do for you? 1. Attractive Mere

$189 USD in 4 dage
(31 bedømmelser)

Hello my friend, I'm interested on your project and I'm sure I can do a best project for you. I'm a System Analyst and PHP Expert. Please give me a chance to show you my job. Regards, Days.

$80 USD in 3 dage
(34 bedømmelser)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~Please Consider on My BID~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Dear Sir/Madam, We are already read your project description & fully understand this project for you. We are offering best price in thi Mere

$131 USD in 4 dage
(44 bedømmelser)

Hello! I understand the requirements of your project and I can assure you of completion with desired quality of work. I could do a PDF form for you that can do all the things you want. I have good skills and ex Mere

$79 USD in 3 dage
(4 bedømmelser)

I have 13+ years of experience in software development and I have hands-on experience in software development. I can complete the project with quality and time.

$100 USD in 3 dage
(4 bedømmelser)

Hi I am interested to work on your project I am a php/web developer and knows very well html, css, ajax, jquery, bootstrap, mysql. CMS: Wordpress MVC: Codeigniter I am offering you my services in lowest bid, please let Mere

$55 USD in 10 dage
(3 bedømmelser)

A proposal has not yet been provided

$147 USD in 3 dage
(5 bedømmelser)

I am more than capable for this project, however I have underbid simply to try and get my foot in the door on this website and gain some experience and positive reviews for my profile. I have worked extensively in t Mere

$66 USD in 3 dage
(0 bedømmelser)

hi, I can do this in under an hour, and you'd be pretty pleased with the sort of data analysis you could do in no time. I do this for a living, take a look at [url removed, login to view] Mere

$94 USD på 1 dag
(0 bedømmelser)

A proposal has not yet been provided

$155 USD in 3 dage
(0 bedømmelser)