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Build website input form

I need to have a form designed that will be implemented in a Vbulletin 5 platform that will allow a person to sign up for a club membership.

All of the input fields listed are needed, and they need to be in the order given.

Must be able to accept a signature or confirmation field for acceptance.

Must be able to use PayPal as the payment method.

Must be aboe to send to 3 to 4 e-mail recipients. E-mail addresses must be configurable.

Must send a receipt with all of the form data to the original person that submitted the form.

Must be able to be configurable by the webmaster to modified if needed at a later date.

Note, the sections that say: “New Members --> Race Number Requested: List your 1st, 2nd, 3rd & 4th choices” AND “If choosing a new non-top 25 number, enter your 1st, 2nd, 3rd and 4th choices here. It would be nice to have 4 separate input boxes for each number input, but not required.

I have a mock-up located here that I made on jotform.

[login to view URL]

Please inquire if you need further clarification on this project.

Thank you.

Evner: Elektroniske Formularer, HTML, Web Design

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Om arbejdsgiveren:
( 8 bedømmelser ) Folsom, United States

Projekt ID: #18420069

21 freelancere byder i gennemsnit $147 på dette job

sanjay2004

Hello, My understanding for the project is you are looking out to have a form design & integrated to your existing website for club membership signup. We have extensive expertise at custom development and have excel Flere

$221 USD in 5 dage
(1182 bedømmelser)
10.0
extreamcode

HI There, I can assist you Build website input form. I am very passionate about quality of my work, You will be pleased working with me. Let's have a quick chat to discuss it further. You can check my sample work Flere

$155 USD in 3 dage
(70 bedømmelser)
7.4
laabhaa

Hi Greeting of the day! Thank's for providing us with an opportunity to bid on your project. We can Build website input form. We have 450+ projects completed by our 24 + employees so we are very excited to parti Flere

$30 USD in 3 dage
(164 bedømmelser)
7.3
aksharkthakkar

Here, you find a PERFECT MATCH..!! Regarding Your Requirements: -------------------------------------- - I have reviewed your requirements and it exactly falls under our area of skills and expertise. - We have Flere

$155 USD in 3 dage
(60 bedømmelser)
6.4
durgesh8527

Hello Sir/Mam, I have read your post requirement for the "need to have a form designed that will be implemented in a Vbulletin 5 platform that will allow a person to sign up for a club membership. ". Now I have some qu Flere

$150 USD in 5 dage
(91 bedømmelser)
6.6
KGeorgy

Hi, Thanks for your job posting. I've read your project description carefully. You are going to build form will be implemented in a Vbulletin 5 platform that will allow a person to sign up for a club membership. As Flere

$200 USD in 3 dage
(25 bedømmelser)
5.8
liangjongai

Hello! We are interesting your project very well and full time devlopers. We have great skill in design and php. Our price and period is negotiable. Employee’s satisfy is my happiness ! Let's go ahead with me ! Flere

$150 USD in 3 dage
(51 bedømmelser)
6.6
lightingdavid

Hello How are you? I have reviewed "Build website input form". I have good skills for these (Electronic Forms, HTML, Website Design). I have been working for 7 yrs in this scope. While we contract and work in our j Flere

$70 USD på 1 dag
(61 bedømmelser)
5.5
NadirBouchama

Hello there! how are you doing ? Can you please provide more details about the project? If the project is fairly paid I can build you a small part of it as form of a demo, afterwards you'll decide if you should hire m Flere

$150 USD in 5 dage
(31 bedømmelser)
5.3
artiboria

Hi, Thank you so much for the nice work opportunity. I am a PHP and Mobile Application developer and having more than 12 years of experience in the industry. I do work on following technologies... Android A Flere

$155 USD in 3 dage
(50 bedømmelser)
5.6
shahajay6434

Hi, Can we have a short discussion? I can start immediately and can complete the task within a short time. I can implement the form with the functionality you required. I am a full stack developer with over 7+ y Flere

$122 USD in 3 dage
(39 bedømmelser)
5.2
kumarsaloni

Hi There, Hope you had a great Christmas and early wishes for a happy and prosperous new year. We reviewed the mockup you made and based on that here are few questions, answers to which will help us better unders Flere

$250 USD in 3 dage
(6 bedømmelser)
4.9
amitadlakha04

Hi Dear please find all my website mock up design here : website Mockup : [login to view URL] Recent Example of my HTML work and implementation into websites usi Flere

$155 USD in 11 dage
(25 bedømmelser)
5.0
iweblane

Hi... We are iWeblane Software, We have read your project description and can see the requirements. We can Build website input form. Please award us the project so that we can discuss it more. Our team has 6 y Flere

$30 USD in 3 dage
(28 bedømmelser)
4.8
danishshoaib

Hi there, Hope you are doing well. Your requirements match well with my expertise. I make very eye catchy website designs, logos, flyers, broachers, t-shirt designs, and visiting cards apart from them I am also expert Flere

$200 USD in 5 dage
(7 bedømmelser)
3.8
mahershahmeer

Hi there, We are Team Wurfel, one of the top branding agencies serving in different niches. We have read your requirements and understood your demands. We have checked the mock-up as well and assure you to provide ex Flere

$138 USD in 7 dage
(2 bedømmelser)
2.0
avenging

Our Recent work: [login to view URL] [login to view URL] [login to view URL] [login to view URL] [login to view URL] [login to view URL] Our Development Cycle: 1. Daily Work Report will be Flere

$127 USD in 3 dage
(2 bedømmelser)
2.1
alaa2kullab1

Hi, Tahoemike I have seen the job description, so I can accomplish this project with the high quality and fair price. I have previous experiences with PayPal as the payment method. I work on PHP Pure MVC, Framewor Flere

$150 USD in 3 dage
(0 bedømmelser)
0.0
krumiancew

Hello, i can deliver this in 1 day. I am 4+ experienced fullstack developer from Poland looking for my first job here. Feel free to check my portfolio: [login to view URL] [login to view URL] http://pi Flere

$111 USD på 1 dag
(0 bedømmelser)
0.0
Neel0thakur

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$222 USD in 2 dage
(0 bedømmelser)
0.0