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Create pricing database and modify existing html form for website

I am a graphic designer familiar with CSS and HTML- and do not need any visual styling.

Currently, customers coming to our site fill in a HTML form which emails details to the appropriate person in our company. We currently have 3 pricing options, regardless of where you live. (see [url removed, login to view] )

We want to change our pricing structure to be staggered depending on where people live - and we want that to be reflected in our form.

Our data is currently stored in a xls spreadsheet, with the following columns: "Suburb" "zone" "monthly price" "bimonthly price" "once off price" and "once off deposit"

So a suburb, "Bayswater" might be in "zone 3" which will determine the pricing of our monthly and bimonthly services. Once off services and deposits are the same regardless of zone.

The user will select their suburb at the top of the form with a drop-down box, which will populate 3 fields next to it, giving prices for each service (monthly, bimonthly, and once off).

The user, with radio buttons, selects a service type. (monthly,bimonthly, green-once off, builders-once off)

Once off options also have a "number of items required" field. Additional items have the same deposit per item, but cost less per item. This needs to be taken into account for the final price.

Finally, the price is displayed.

See attached jpg for a visual, with comments.


- Don't worry about styling fields, but they need to be styled with CSS.

- Also, I need to be able to update the prices and add suburbs. I can work my way through most file types, it doesn't need to have a cms.

Sample of xls file attached (most data is unpopulated). Final version given to successful freelancer.

Kĩ năng: Electronic Forms, HTML, Javascript

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Về Bên Thuê:
( 3 nhận xét ) Woodvale, Australia

ID dự án: #1748375

Được trao cho:


Hello,I have more than 5 years of experience in php/mysql. I can complete this pat of your site in less than 4 hrs. Please Check PMB for more details.

$40 AUD trong 0 ngày
(8 Đánh Giá)

13 freelancer đang chào giá trung bình $168 cho công việc này


Hi Sir, I can do this. Please check the message box. Thanks

$180 AUD trong 3 ngày
(156 Nhận xét)

pls chk pmb

$185 AUD trong 3 ngày
(123 Nhận xét)

We are working in web development since last 4 years. Our first aim is reliable to submit quality project on time; Some of the Projects done by us:- [login to view URL]://[login to view URL] (Zend) [login to view URL]://[login to view URL] Thêm

$250 AUD trong 10 ngày
(44 Nhận xét)

hi,i saw your project description. I will do that on time. I will do custom design and coding for you. Please check my profile and portfolio. thanks

$200 AUD trong 3 ngày
(50 Nhận xét)

Hi! We are 100% sure that we can very easily complete your project with perfection. Please just check our Portfolio for your satisfaction. We Can provide the best work to you. So please give us a chance for your proj Thêm

$180 AUD trong 5 ngày
(43 Nhận xét)

html/php team

$250 AUD trong 2 ngày
(13 Nhận xét)

I'm a Canadian web developer and can program this dynamic form using PHP (server-side) and Javascript (client-side). Please see PM for details.

$250 AUD trong 7 ngày
(8 Nhận xét)

Hi, I have experience in this. Please check pm. Thanks

$200 AUD trong 1 ngày
(0 Nhận xét)

Hello,sir. how are you? i have interesting this job now. i can do it and ready now. please send me reply. i ready your any questions.

$150 AUD trong 3 ngày
(2 Nhận xét)

i had created this page if u need this project then ill send u on ur email id

$50 AUD trong 0 ngày
(0 Nhận xét)

Let me do this work please

$150 AUD trong 5 ngày
(0 Nhận xét)

I have great experience in this work.

$100 AUD trong 1 ngày
(0 Nhận xét)