I gang

Simple Application Form

Need some help with an online application for a new mortgage company. I know more about graphic design and minimal about PHP. I already have the website setup and ready to go - [url removed, login to view]

The Online Application page is currently setup using a third-party, and want to set it up in-house so I don't have monthly fees. This request is pretty simple: There are about 45 fields which I can provide a detailed list of. The end-user entered data in the fields needs to be sent to an email address when end-user clicks Submit. A confirmation email sent to the user's email address also would be nice, but not required. Print/Reset functionality nice, but also not required.

Pretty simple, right? In your bid, please identify which of the above named requests your price covers. I don't know what info you'll need to set-up the form (SMTP info and etc), so you'll have to specify that also.

Looking forward to working with you, and thanks for your time.

Færdigheder: PHP

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Om arbejdsgiveren:
( 6 bedømmelser ) Hattiesburg, United States

Projekt-ID: #52193

Tildelt til:

leoe

I have did it. Please see PMB.

$30 USD in 0 dage
(106 bedømmelser)
7.0

31 freelancere byder i gennemsnit $55 for dette job

phpMaestro

Hi, We have over 5 years of experience of web designing, search engine optimisation and web programming on php and other web technologies and programmed many applications. We are confident to complete this project with Mere

$85 USD in 3 dage
(219 bedømmelser)
9.1
mspl

Hello I can Provide this Service tou you. let me know your budget. so we can discuss and negoiceate further! Please Contact me on PMB. So we can discuss further! please visit www.webnflashdev.com for more info abou Mere

$100 USD in 2 dage
(156 bedømmelser)
7.2
cstl

Chandusoft is a customer-specific service oriented company has got an Professional and creative team with 6 years experience in Web design and development. We have expertise and experience in ecommerce site development Mere

$89 USD in 6 dage
(18 bedømmelser)
6.9
pentium10

I can help you!

$100 USD in 2 dage
(213 bedømmelser)
6.8
PinkCrow

I can help you now!

$30 USD in 0 dage
(137 bedømmelser)
6.6
sunsoft2

Can be done. Please cehck PMB

$30 USD på 1 dag
(134 bedømmelser)
6.4
gafwork

ready to work. i can show u a demo of my work, of what u looking for.thanks.

$30 USD in 0 dage
(28 bedømmelser)
6.4
bsoist

Please see PMB for details.

$100 USD in 7 dage
(32 bedømmelser)
6.2
sinisa

Hi,check PM...

$35 USD på 1 dag
(89 bedømmelser)
5.8
idsnetworking

Very simple, I can do all of it for you.

$30 USD på 1 dag
(39 bedømmelser)
5.2
sdstudios

I'm +7 year experienced programmer and i would like to get your mortage website coded with the best quality.

$100 USD in 3 dage
(20 bedømmelser)
5.0
san26

done..see more in pmb please thanks san

$30 USD in 0 dage
(6 bedømmelser)
4.9
phpfunk

My solution would show/process form on same page; I think its easier on the user if they can see any error messages and see the form w/ their entries so they can make corrections. My bid includes reset/printing/sendin Mere

$45 USD på 1 dag
(14 bedømmelser)
4.8
NubKnacker

Please see PMB for details. Thanks.

$30 USD på 1 dag
(13 bedømmelser)
4.0
webcat

pls see pmb

$30 USD in 2 dage
(20 bedømmelser)
3.8
look

Hi There, I can provide your desired solution within few hours. I'm a very good experience in PHP. Please view pvt. msg. board for more. Regards, -Suvro

$30 USD på 1 dag
(10 bedømmelser)
3.7
webdoers

We're the team of enthusiastic and technically conscious highly qualified engineers, with core software industry experience. Our team have 25 man-years experience. They are serving the key position in their respective Mere

$90 USD in 10 dage
(9 bedømmelser)
4.5
Soumyashahi

Hello Sir, We would like to do this work for you. Please Give us a chance. Thanks Regards Kusum

$75 USD in 0 dage
(1 bedømmelse)
1.9
bissolutions

Please check PMB for details. Regards, BIS Solutions

$30 USD på 1 dag
(2 bedømmelser)
1.6
imranmunawar

I am willing to work on your site.I have good experience in Web Development and Web Designing You can see My work on My site. www.crestlogix.cjb.net

$50 USD på 1 dag
(0 bedømmelser)
0.0