Create 2 additonal pages for an excisting website for receiving quotes

Completado Publicado Dec 28, 2009 Pagado a la entrega
Completado Pagado a la entrega

A customer of me needs a page where visitors from Google Adwords can enter detailed information for requesting quote of a specific object.

The customer needs one page wich contain the following details:

* * *

**Type

O** Name 1

**O** Name 2

**O** Name 3

**Contact details

**Firstname

Name

Gender

Phonenumber

Mobile

E-mail

**Adress

**Adress

Postal code

City

Country

**Detail info 1

O** variable distance

**O** Unknown

**Detail info 2

O** variable degrees

**O** Unknown

**General info

**Desired date of execution days selection - month selection - year selection

Contribution field

Send request button

* * *

When the customer clicks the Send request button the customer needs arrive on the 2nd page you have to make wich will thank the customer for his request. (And where i could put the Adwords code)

For an example you can view this page:

<[url removed, login to view]>

Enter as "Uw postcode" the following: 1234 ab

Then you see the page i would like to have for my customer.

It would be great if it fits in this entire picture as in layout of the current website, wich is:

<[url removed, login to view]>

Ingeniería MySQL PHP Gestión de proyectos Arquitectura de software Verificación de software Interfaz de usuario / AI

Nº del proyecto: #3048991

Sobre el proyecto

14 propuestas Proyecto remoto Activo Jan 3, 2010

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