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Create a questionnaire form in html5

$15-25 USD / hour

In Progress
Posted about 11 years ago

$15-25 USD / hour

Your mission if you choose to accept it will be to create a customized contact form and adding it to an existing html based webpage. Ideally this would accomplished using this, which I already own : [login to view URL]?WT.ac=category_item&WT.seg_1=category_item&WT.z_author=jigowatt The contact form will include 2 hidden fields that will be populated by data passed from an aweber based opt-in page for users names and email addresses 2 drop down fields asking users what style of house they are looking for and how many bedrooms they need Lastly 3 text fields I need to be able to dictate which email addresses the form will be sent to when its filled out and when the form is completed you will create a quick tutorial either through screen recorded video or with screen shot images how I can add or change questions and email addresses the form is sent to. Thank you! Please write the word Apple in your bid description so I know you've read the project details entirely. I need to assign this project quickly..
Project ID: 4148457

About the project

5 proposals
Remote project
Active 11 yrs ago

Looking to make some money?

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quick pro help. ftp and milestone required.
$35 USD in 3 days
4.9 (55 reviews)
5.9
5.9
5 freelancers are bidding on average $29 USD/hour for this job
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"Apple". Quality work assured. Ready to get started. Thanks.
$60 USD in 40 days
5.0 (43 reviews)
5.7
5.7
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I would like to start today. I can probably finish same day. May you please PM to me your host's platform, like linux or windows, and if you are on a shared or vps plan?
$15 USD in 2 days
5.0 (5 reviews)
3.0
3.0
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Hi, Veltrod Software services is a global software consulting company specialized in providing Mobile applications, Social media frameworks and eCommerce solutions. Leveraging best-in-class people, processes, and technologies, Veltrod provides high-quality software development and BPO services to independent software vendors and enterprises. We are specialized in developing Mobile applications, Search Engine optimizations, Social Network frameworks, Software Testing and ERP applications. We are pleased to take care of this project, if it is offered to us. We assure that we will work towards 100% client satisfaction. Thanks Vinoth
$20 USD in 50 days
5.0 (4 reviews)
1.0
1.0
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"Apple"! - Applying a ready-made template to a website is simple enough and then going onto customize it should not take too long. I look forward to working with you.
$16 USD in 5 days
0.0 (0 reviews)
0.0
0.0

About the client

Flag of CANADA
Oakville, Canada
5.0
12
Payment method verified
Member since Mar 17, 2006

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