I´m looking for a simple web-form to enter addresses (company, street, zip-code, city, phone, multi selection field for scope of work).
Entered data should be stored in an mySQL-Database.
While entering company-name, the database should be checked for existing entries to avoid duplicate entries auto-suggestion).
While entering zip-code (germany), the city-field shoud be filled automatically by using google maps API.
Form should be secured with a login for different users (no complex user administration needed). Username and time of data-creation should also be stored in database.
Webspace, MySQL Database and GoogleMaps API Key is available.