I have a simple landing page online and would like for the form to:
Collect Name user enters
Collect Username and check that is available by indication.
Collect email address and check that it is not already resisted.
Add DOB and check check they are 18 or older.
Collect Ip address
All goes into database with a simple back-end for me to manage and sort data.
18 freelancers are bidding on average $34 for this job
Hi, I am an php and mysql developer having 10+ years of expereince. I can able to fix the form as per you requested. Please award this job to me. Thanks, Nawas.
Dear Sir/madam, Greetings. I have done many projects like this, i can do this as well. You can see the old projects like http://meracharge.com/ http://nonestopshopping.com/ etc..