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PHP Order Form + JQuery

I am in need of a order form built with jquery &php. I had previously posted this and selected someone to do the work, but unfortunately as is the case, they didnt know what they were doing, said they could deliver in one day and then i got nothing. So here I am again. If you you can do this then MAKE SURE YOU PAY ATTENTION TO WHAT I NEED BELOW:

I am looking for a form exactly like this:

[url removed, login to view]

I like how the form updates with a price when they choose the number of pages.

I would like to have the same amount of days 1 through 10.

Default day on the slider should be set to 1.

Id like the same functionality their form has where it shows the price depending on the pages a user picks, and underneath it will say the same things they have in the form.

You can add any dollar value to the days as I will change these after the form is done and delivered.

Fields for the form are:

1. Name (required)

2. e-mail (required)

3. Project name (required)

4. Phone

5. Additional Project Information

6. Address me as Sporshok in your PM so I know you have read this far.

7. Field to insert download link or upload file.

8. Captcha Field using google captcha or something similar, if you have something that works, you can use it

9. section above the submit button where some text can be inserted, kind of like a terms section with a check field that they must check in order to submit. THE SUBMIT BUTTON SHOULD NOT BE CLICKABLE UNTIL THEY CHECK THIS BOX

10. After clicking the submit button the user needs to be redirect to 2checkout page for the payment and when the payment completed the user should be redirect back to my site with a confirmation message. In the meantime the user should receive an email about the order has been made and the site owner should receive an email that an order has been placed with details.

11. If you can implement this features as a wordpress plugin, it will be very exciting.

CSS should be easy to change and everything needs to be commented.

I am not interested in your ability to design web sites. i am looking for experience in building good quality, functioning forms, so if you have examples of forms you have created please show me. If you are chosen, I want to see a demo of a fully functioning form. I will send you the email address where all of the information is to be sent when someone clicks on submit.

if you are chosen you must be available via chat, such as skype, google talk as i use these extensively. AND PLEASE FOR THE LOVE OF GOD SPEAK DECENT ENGLISH AT LEAST.

Kỹ năng: AJAX, Electronic Forms, jQuery / Prototype, PHP, WordPress

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Về Bên Thuê:
( 24 nhận xét ) Dhaka, Bangladesh

Mã Dự Án: #1743224

25 freelancer đang chào giá trung bình $196 cho công việc này

psenthilkumar

have few question , please check inbox.

$250 USD trong 2 ngày
(118 Đánh Giá)
7.1
evgendob

Wordpress expert ready to help you with form.

$250 USD trong 5 ngày
(188 Đánh Giá)
7.0
graphicaa

Ok.. May we discuss more? Thanks.

$199 USD trong 10 ngày
(105 Đánh Giá)
6.7
k1ng440

Full time freelance web developer with 7 years of commercial experience.

$250 USD trong 5 ngày
(92 Đánh Giá)
6.4
webzin

Lets get it done.. Thnx Webzin Infotech

$200 USD trong 6 ngày
(58 Đánh Giá)
6.4
dinotech

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:- [url removed, login to view]://[url removed, login to view] (Zend) [url removed, login to view]://[url removed, login to view] 3. Thêm

$400 USD trong 12 ngày
(36 Đánh Giá)
6.1
SRajpurohit

Sporshok....can we have talk

$100 USD trong 3 ngày
(37 Đánh Giá)
5.6
phpartist

Please refer to PM.

$90 USD trong 2 ngày
(47 Đánh Giá)
5.6
aasol

Ready to start, please check your inbox for details, Thanks.

$250 USD trong 7 ngày
(24 Đánh Giá)
5.1
vijarp

Pls check PM

$140 USD trong 2 ngày
(18 Đánh Giá)
4.9
Bistechsupport

Hi, This is Jeni from bistech support. We would like to inform you that in a very short time frame, that we have completed lot of projects in freelancer. We are sure that we could able to work on your projec Thêm

$100 USD trong 5 ngày
(24 Đánh Giá)
4.7
Manchasterz

I am ready for this [url removed, login to view]

$250 USD trong 5 ngày
(19 Đánh Giá)
4.2
pareshmaghodiya

Hi, Please check your PMB for more detail. thanks

$118 USD trong 4 ngày
(13 Đánh Giá)
3.9
ashoksahoo88

Please see PMB.

$100 USD trong 2 ngày
(10 Đánh Giá)
3.9
RobertPWilliams

Hello, I'm extremely interested in this gig. I have quite strong experience in HTTPS, restful web services and standards compliant form markup. I've attached an example to a PM to give you an idea of my skills, Thêm

$280 USD trong 10 ngày
(7 Đánh Giá)
3.9
eneinside

Ready to start now! Let's go, check your pmb!

$150 USD trong 1 ngày
(5 Đánh Giá)
3.1
Qwiz

Hello Sporshok, I can do this but I still don't see why you listed Ajax. Ajax is more of a retrieve live information without ever leaving the page. The url you listed shows jQuery and CSS3 slider that most browsers are Thêm

$425 USD trong 14 ngày
(1 Đánh Giá)
2.7
dcorejobs

Dear Hiring Manager, We understand your requirements fully & are confident of a 100% delivery from our end. Please check your mailbox here, for our detailed bid. Thanks and regards, D-Core Infotech team

$75 USD trong 6 ngày
(10 Đánh Giá)
3.4
shambo100

please check inbox for my solution

$180 USD trong 3 ngày
(2 Đánh Giá)
2.5
ankur150889

Hi Please Check ur PMB..!!!

$75 USD trong 3 ngày
(2 Đánh Giá)
1.2