Single Simple Form to Email and Database

I need a single page HTML CSS responsive form that collects data and saves to a database which admin can login and see. Also emails form data to 2 email addresses.

See form attached. I need this done and finished within 17 hours from now.

Mention HG in comments or your bid will be ignored

I will provide Cpanel access and an account to build the form from, form must be built in provided cpanec access.

Note: I will need a "Add another Item" button so user can add another item to the order form, like item 7, item 8, item 9 etc

Evner: PHP, HTML, CSS, Web Design, MySQL

Se mere: email simple form html, php simple login form without database, email javascript form save database, simple form script database, simple form submit email address, form email database, asp simple form email php, simple form will email results, submit form results database email, php form email database, email data form mysql database, aspnet simple form database, email php form update database, email form write database, setup cms simple form database, simple form send database, simple form database, simple form posts database emails, simple form sql database android

Om arbejdsgiveren:
( 379 bedømmelser ) Newport, Australia

Projekt ID: #21805819

Tildelt til:


Hello HG, We are up for the task and can complete this in 2 days max! I have checked pdf and background image, It's simple and straight! Let's discuss further on chat and start working on it!

$80 AUD in 2 dage
(202 bedømmelser)

69 freelancere byder i gennemsnit $132 på dette job


Hi HG I offer a wide range of services, including , PHP , Website Design , CSS , MySQL , HTML I can create and deliver the project as per the information.I have skilled, expert programmers I'm very excited to ass Flere

$120 AUD på 1 dag
(537 bedømmelser)

I can make a form for you. I have 8+ years of experience in PHP. I assure you that I will give 100% quality work. Let us discuss and proceed further in chat.

$200 AUD in 7 dage
(181 bedømmelser)

HG I dont do design but if you have the HTML/CSS form then i can do the programming in PHP/MYSQL for this form. I can send the form output to 2 emaill address and also to admin panel. show me the admin panel too. Let Flere

$100 AUD på 1 dag
(350 bedømmelser)

Hi, I have checked the attached pdf file. So on the form , everything will be filled by the user , no prefill filed will be there ? I can make it within your time as per your requirement. I have 10 years of experie Flere

$140 AUD på 1 dag
(200 bedømmelser)

Hello sir. I have good skills and experiences as you requested on your project. You can see my results as follow. https://www.freelancer.com/u/abstractsoftweb?w=f I am very interested in your project. If you hire me Flere

$100 AUD in 2 dage
(155 bedømmelser)

HG Hello? How are you? I am excited to work with you on this project. I have good skills in php backend side. So I think I can help you if you want. So i hope to discuss your project vis chat deeply. Thanks. Bes Flere

$155 AUD in 0 dage
(122 bedømmelser)

----------------------------------------------------HG--------------------------------------------- Hello, I am highly interested to work with this project. I can complete it within the next 5 hours. I am a profession Flere

$150 AUD på 1 dag
(127 bedømmelser)

Hey HG I have read your proposal and I have read that you need that in 17 hours. I have understood your requirements and I am sure I can deliver the work in 17 hours. The background image should be used as background?

$70 AUD på 1 dag
(157 bedømmelser)

HG I have good knowledge of PHP, Ajax, Jquery and MYSQL. I able to do this task very well with good quality. Our main motto is client satisfaction and makes a long-term relationship with you. Thank you

$175 AUD in 2 dage
(134 bedømmelser)

Hello, Greetings of the day! I've gone through your posted job description. Could you please share the task list and specs of this project so that I can analyze them and can share my understanding over it, On that bas Flere

$150 AUD in 3 dage
(219 bedømmelser)

"HG" - Hi, I can complete it on time ( < 17 hours ) with best quality of work. Please hire me. Thank you !

$170 AUD på 1 dag
(612 bedømmelser)

HI, I like to help you out for PHP tasks. I do have experience in PHP and its framework CodeIgniter. I am full time freelancer i also know HTML, CSS, JS, Ajax, Jquery, etc. most of time i do all the work in website fro Flere

$100 AUD in 2 dage
(88 bedømmelser)

hello sir i am expert in php and html/css i am able to do this work you will satisfy with my work i can do this work asap thank you

$140 AUD på 1 dag
(200 bedømmelser)

HG Hi there, I checked pdf, i will design and build same form like you want. I have 7 years experience in WordPress. Feel free to contact me. I can start work on this project right now.

$100 AUD på 1 dag
(219 bedømmelser)

HG Hi I checked the requirements and i can create the form with in few hours . Can we have a discussion ? i am ready to start the work right now . Thanks

$200 AUD in 7 dage
(61 bedømmelser)

"HG" Hi, there. i can do this project within 17 hours from now. Thanks for your contact me. i have read your description and very interested in your project. As you can see at my profile, i am a expert web development Flere

$160 AUD på 1 dag
(59 bedømmelser)

Hello, Greetings!! I have checked both the attachments. So the user can add any number of items from the form?? Is the site is already built where I need to add this form? I will love to assist you with this task Flere

$250 AUD på 1 dag
(138 bedømmelser)

Hi, I am 8 years experienced web developer . I understand your point. I can complete this project within two days. Please check my profile for my work quality . Thanks, Bhaskar Mandal

$80 AUD in 2 dage
(105 bedømmelser)

"HG" Hello Thanking you for posting the project. I am having more than 5 year in Designing and Development. Please provide me all the details so i can through and start the work And expertise in Creating Responsi Flere

$100 AUD in 2 dage
(108 bedømmelser)

HG Hi Sir/Madam, Thank you for going through my proposal for your Job titled I have gone through your job posting. I am an Expert PHP Developer with extensive experience of developing web and mobile applications. i am Flere

$100 AUD in 7 dage
(112 bedømmelser)