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Form design

Need an Australian made website focused around an email form. I need to be able to drag email addresses from local goverment members website. A user needs to be able to enter a name, email address and postcode then a prewritten letter is sent to their local member of government just from giving a post code.

Steps.

1. Home Page - user enters name, email address and postcode.

2. Form Page - By using the postcode in the home page a list of local government members found in that postcode will appear in a dropdown box (choose one only) These names will be the To part of the email. The name of the government member will also apper in the Dear________ of the email body. The email body will be prewritten by myself.

3. The users name from the Home Page form will appear at the bottom of the email body. Your Sincerely_________ and also be the Subject of the email.

4. Most importantly the email must be sent from the email address given in the Home Page form, not the website.

Here is a similar website

[url removed, login to view]

[url removed, login to view]

Færdigheder: CSS, HTML, HMLT5, Web Design

Se mere: body by design, australian website design, form design code website design, government website design, australian users, css email design, website list names addresses, form contact aspx, post design css, drag email form, aspx form, australian email list, contact css form, form dropdown, letter form design, goverment, css form design code, email body form, css members, letter design using, letter box design, addresses form, form email body, email goverment, contact email form

Om arbejdsgiveren:
( 3 bedømmelser ) Hamilton Hill, Australia

Projekt-ID: #4049010

16 freelancere byder i gennemsnit $134 for dette job

esolzsales

We are detailing all our questions / discussions in the Private Message Board, kindly check the same

$200 AUD in 10 dage
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WebSolutionWorld

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Ajcm623

hello i can help u sir quite possibly!!! let's start

$180 AUD in 5 dage
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5.6
kishanlalyadav

Ready to start!!!

$100 AUD in 2 dage
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5.5
mohamedmis

I have been working as a web designer for last 3 year and 9 months.I am very careful about perfection of my works. I am specializing in web site designing, also designing logos, banners, letterheads, business cards and Mere

$150 AUD in 2 dage
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5.4
deevan

Hi, I have read your bid and can offer impressive web solution please view private message to visit our portfolio. Thanks,

$120 AUD in 4 dage
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5.3
webmantratech

Dear Employer, Let's Start. Please accept our BID. We are a team with professional dedicated designers & developers. Please see PMB for other details. Thanks!

$150 AUD in 7 dage
(24 bedømmelser)
5.2
Bistechsupport

Hi, This is jeni from Bistechsupport. We could able to work on this project. A very few samples are drop down over here for your reference: 1 Ecommerce [url removed, login to view] 2 Members only http://m Mere

$125 AUD in 3 dage
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4.6
ruchir19vw

Interested in the task. Web Design Experts here. Do check our profile. Thanks!

$120 AUD in 5 dage
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4.4
ZWebPlace

Hi, I have experience php, mysql, html5, css3,js. so i can help you. please see my portfolio and PM. Thanks

$100 AUD in 5 dage
(8 bedømmelser)
4.1
VPOWERRC

Hi, I read your instructions carefully. I have no problem with the first 3 steps. But forth step confuse me I think you want to send the email from the email which user will type. It is not possible since it's Mere

$100 AUD in 3 dage
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4.1
kushanx

I am an expert web developer with 12 years of experience. I can develop this small web application in 2 days

$150 AUD in 2 dage
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3.5
amanmahal07

Will provide you with quality work up to your full satisfaction [url removed, login to view]

$99 AUD in 5 dage
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vishalwebexpert

Please check your private message board..

$150 AUD in 3 dage
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2.8
rstechnomedia

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$135 AUD in 2 dage
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2.0
NourAl

Hello, I am a programer developer and I know HTML, CSS and Php and I would be happy to take care of your project. Please check your PM.

$100 AUD in 4 dage
(1 bedømmelse)
1.8