Create an online form to capture details on my homepage

$30-250 USD

Terminado

Publicado

hace más de 12 años

$30-250 USD

Pagado a la entrega

I need someone to create an online form which captures the details of people who visit my website. I have not launched my website yet, there is only a blog posted on it for SEO purposes, but I have some marketing going out in the newspapers, and I want to be able to capture the details of website visitors, and also direct them to the facebook fan page. I have the design of the website which I can provide. I want the same elements used. It needs to ask them if they are a Customer or Driver First Name Surname Mobile number Email Password Where did you hear about us (pulldown menu with a few responses) Agree to terms and conditions box. I want it up in 2 days. Only quote if you have good feedback.

ID del proyecto: 1205717

Información sobre el proyecto

12 propuestas

Proyecto remoto

Activo hace 13 años

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Adjudicado a:

@NeOLiO

Hello, We can help you with the online form functionality for your website. Please check PMB. for details. Thanks.

$30 USD en 1 día

5,0

(117 comentarios)

6,8

12 freelancers están ofertando un promedio de $66 USD por este trabajo

@psenthilkumar

Hi, Will Provide you the online form with Exactly in 24hours :)Please review inbox!

$30 USD en 0 día

4,8

(147 comentarios)

7,5

@zainy01

Check Your PMB

$80 USD en 0 día

5,0

(69 comentarios)

7,1

@vibrantconcept

Hello Sir, I am very much interested in your job. Please have a look at my PM. Thanks,

$100 USD en 2 días

5,0

(46 comentarios)

6,5

@GFsoul

no problem for me, will make it up in just few hours from when i start working. i have many good feedbacks.

$50 USD en 1 día

4,9

(131 comentarios)

6,4

@ashwin86

Hi,I can do this job for sure

$40 USD en 1 día

4,8

(66 comentarios)

6,1

@OurDesignz

Hi, I can make the form in 1 day with all the validations aswell. Just finished a form for www.dropmagic.com. This too is just to capture details , the website is not up designed yet. You can visit my portfolio at www.mywebdesignz.com. Regards, Gaurav

$50 USD en 1 día

4,9

(60 comentarios)

5,8

@Boxxstudio20

Hello, Please check your PMB. Thanks

$60 USD en 2 días

3,9

(37 comentarios)

4,9

@techinformatics

Hi, TechinformaticsMedia is a growing Web Development Company in India. Kindly check PMB for more details.

$100 USD en 0 día

4,7

(12 comentarios)

3,9

@Abdulaziz01

Hi, I've been working as a web developer for more than 3years now ,and i've Proficiency in working with AJAX, PHP,MySQL,Javascript,HTML,CSS . I know i can deliver what you need. Please check PM for more info.

$45 USD en 1 día