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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:
( 92 bedømmelser ) NASHVILLE, United States

Projekt ID: #12499874

74 freelancere byder i gennemsnit $474 på dette job

meet2amitvw

Let's discuss more about project to finalize the proper scope with estimated cost and time so ping me over the freelancer chat.....I will share some demo as well for recent works if you want to check. You can also c Flere

$721 USD in 10 dage
(156 bedømmelser)
9.3
SRajpurohit

Hello there, Greetings! We have gone through the complete job description and are pretty sure to assist you with this task as we are expertise team of developers & designers working on Web & App Development/Desig Flere

$773 USD in 15 dage
(284 bedømmelser)
8.5
A2Design

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$750 USD in 7 dage
(132 bedømmelser)
8.7
rajeshsonisl

Hello! With 98% to 99% completion rate, 900+ successfully completed projects, and a 4.99 reputation (maximum possible, 5.0) (can be verified on my profile page https://www.freelancer.com/u/rajeshsonisl.html !!)... y Flere

$1263 USD in 15 dage
(845 bedømmelser)
8.3
pan09

I am interested to work on the project . Can you explain how you want to tie up digi sign onto this form ? Let me know .

$566 USD in 10 dage
(345 bedømmelser)
8.6
monitrix

Hi, I am expert you can check my profile ratings and reviews having 5 star and on time . Lets discuss more over chat . waiting for your response . Thanks:)

$526 USD in 10 dage
(398 bedømmelser)
8.6
arunsingla32

Hi! Hope you are doing great!! I am writing in response to the job posting named ‘Convert a paper form to a web form’ and I understand that you need to make this form [login to view URL] can be achieved by adding boo Flere

$309 USD in 3 dage
(181 bedømmelser)
8.1
$555 USD in 10 dage
(674 bedømmelser)
8.2
conceptsview

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$505 USD in 5 dage
(215 bedømmelser)
7.8
ciestosolution

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$250 USD in 10 dage
(453 bedømmelser)
8.1
webbookstudio

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$618 USD in 17 dage
(117 bedømmelser)
7.9
alifinteractive

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$600 USD in 10 dage
(133 bedømmelser)
7.6
khantek

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$388 USD in 10 dage
(378 bedømmelser)
7.4
prashushinde9

Hello, We have accomplished 90% of the project which is similar of your requirement. All we need 10% customization as per your requirement set and specifications. I want to discuss in personal chat in order to explore Flere

$773 USD in 20 dage
(67 bedømmelser)
7.2
Shopify

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$721 USD in 15 dage
(26 bedømmelser)
7.1
crystalcloudteam

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$560 USD in 10 dage
(96 bedømmelser)
7.5
AltiuseCreaton

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$555 USD på 1 dag
(80 bedømmelser)
7.1
shinydgn

HELLO Nice to meet you. I am good at web development. I have rich experience in mobile responsive website building. I can start to work immediately. Hope to hear from you soon... Warm regards, Abdulmatin

$500 USD in 5 dage
(156 bedømmelser)
7.1
venky0106

Hi There, After form submission would you like to receive form or data store in database? Do you have existing website or its new form only? Please take a look on my portfolio. [login to view URL] Flere

$300 USD in 6 dage
(190 bedømmelser)
6.8
mike199

My name is Mike and I’m from UK. I work with individual clients and also provide outsourcing services for a number of UK and USA based agencies. Your project description sounds interesting to me and I do have skills & Flere

$555 USD in 10 dage
(57 bedømmelser)
7.2