Custom plugin form for Wordpress


I need a custom form for a Wordpress site + control panel (plugin).

Form is used when customers creates a quote on some work (graphical). I have found a form i really like. I have attached screenshot from If you want to see that form live you can go to [url removed, login to view] and go to step 2 in "Logo Design Contest". (I recommend you do that to see requirements.)

Form needs the following:

- Normal text input

- Dropdown selection

- Checkmark selection

- Select samle function

- Upload file function

- Scroller function (this should return an integer between 0 and 100. 0 if scrolled to far left, 50 if in middle and 100 if scrolled to far right)

When a form is submitted an email should be sent to a specified email and order/submission should be stored in Wordpress admin. I would then like to be able to see all submissions from admin panel / control panel.

Only one function is needed in admin panel, that is to mark a submission as pending or completed. This is only for my own needs. No further functions will be needed in admin panel.

What i would like for you is to create a similar form as seen on [url removed, login to view] with a working backend. I will be able to edit code myself to suit it for my own needs.


No milestones will be released before i see a working form/control panel. I imagine you develop on own hosting. When are done you will give me URL to form and access to admin panel. Then i can test.


1st milestone created when you start the project.

2nd milestone created when i am able to test on your server.

I will release 1st milestone when i have checked form + admin panel to fill my needs.

2nd milestone will be released when transferred and tested ok on my server.

Please do not bid if you cannot make similar form as seenon [url removed, login to view] AND do not bid if you are not willing/able to communicate on Skype. Communication in Skype (chat) is required.

Looking forward to hear from you.

Evner: CSS, HTML, MySQL, PHP, WordPress

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Om arbejdsgiveren:
( 16 bedømmelser ) Odense C, Denmark

Projekt ID: #4104392

3 freelancere byder i gennemsnit $120 på dette job


We are interested.

$250 USD in 7 dage
(126 bedømmelser)


$30 USD på 1 dag
(26 bedømmelser)

I've checked the 99designs form you attached and I can do it. Users will submit this form on your Wordpress website and you will be able to view this on email & the plugin admin page. This will be done within 3 buissne Flere

$80 USD in 3 dage
(8 bedømmelser)