Convert a paper form to a web form

Hi all. I have a form that reps are using out in the field right now. Currently, they are filling it out in the field and we are having to do double entry.

We would like this form to be converted to a responsive web form that would render properly on all OS's and browsers. It would then e-mail to an appropriate e-mail address, and log the entries. We do need this form to have some sort of digital signature element, and this part is critical.

I understand there will be questions and collaboration needed. We can host the form on our server. I look forward to good dialogue with bidders! I have included a sample of the form in question. If we are really satisfied with the work and we have a good solution, we have two more of these to do.

Thank you!

Evner: Grafisk Design, HTML, PHP, Web Design

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Om arbejdsgiveren:
( 101 bedømmelser ) NASHVILLE, United States

Projekt ID: #12499874

73 freelancere byder i gennemsnit $475 på dette job


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$721 USD in 10 dage
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$555 USD in 10 dage
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$250 USD in 10 dage
(537 bedømmelser)

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$388 USD in 10 dage
(408 bedømmelser)

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(29 bedømmelser)

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$650 USD in 8 dage
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$555 USD på 1 dag
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$600 USD in 10 dage
(133 bedømmelser)

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$300 USD in 6 dage
(195 bedømmelser)