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Website contact form

I need a simple and very straightforward form to insert on a Joomla 1.5 module.

Requirements:

1. There are two "Selects" inside a form. The first one is manually populated. The second one should be populated when picked a field from the first with data from an existing database using AJAX and not reloading the page.

Here is a pratical example: One select list with countries as options: Portugal, Spain, France

And the second one with cities according with the country selected in the first select, let's say: Paris, Cannes, Lyon in case France was selected.

2. On site validation with color changing fields for mandatory fields.

3. The submission should send a customized and automatic email for the user and the form entries to an email.

4. Date fields should be picked from a date picker and the number of nights automatically calculated from the difference of ending and starting date.

5. Form should be mobile friendly and have captcha verification.

Specifications:

- The Database already exists - required fields will be given

- The CSS and design already exists and should be maintained

- The form should be on file should be a .php file which is included on a Joomla 1.5 module

Basically, everything is created and works already. The goal is to make it more user friendly.

Kỹ năng: AJAX, CSS, HTML, Joomla, PHP

Xem thêm: contact form joomla php, website design using ajax, website design spain, website design paris, mobile website example, joomla mobile site module, ajax css contact form, calculated fields form, very simple data insert, user contact, picker, paris, more mobile friendly, mobile-friendly website, mobile friendly website, lyon, date picker, mobile friendly site css, contact css, mobile website case, joomla insert data, simple contact database, ajax simple insert, mobile number number verification, send data form database php

Về Bên Thuê:
( 0 nhận xét ) Funchal, Portugal

Mã Dự Án: #1719430

26 freelancer đang chào giá trung bình $191 cho công việc này

vietcodepro

Hello, I'm very interested your project. Please check your inbox for more details, thanks!

$250 USD trong 3 ngày
(566 Đánh Giá)
8.3
rabbul

Please check PMB

$150 USD trong 1 ngày
(344 Đánh Giá)
7.7
rosew100

I have expertise in PHP, Jquery, MySql joomla, Ajax, CSS. I am eady to start work soon. for more info please check PM-

$95 USD trong 2 ngày
(111 Đánh Giá)
6.9
epark

=====Expertness and honesty our goal . we are small team working good quality and accuracy. looking forward to check pm message for details offer. Thank you===========

$150 USD trong 5 ngày
(117 Đánh Giá)
6.8
graphicaa

Great day, I can help you for a moderate price. Thanks.

$69 USD trong 5 ngày
(116 Đánh Giá)
6.8
khanhhuyna

I can do this. Thanks.

$100 USD trong 2 ngày
(111 Đánh Giá)
6.6
phpdevindia

Hello sir, joomla expert here to to develop this module.i am ready to start. Thanks

$250 USD trong 5 ngày
(124 Đánh Giá)
6.5
k1ng440

Professional web developer is ready get started right now. Please read my private message for more information.

$100 USD trong 2 ngày
(97 Đánh Giá)
6.5
mrlonganh

Hi,i'm ready to help you now.

$100 USD trong 3 ngày
(97 Đánh Giá)
6.1
narmadatech

Hello, We are two Joomla Freelancers & We can do this task very easily since combine great experience & detailing in handling & configuring Joomla 2.5 templates & Wordpress themes.

$250 USD trong 6 ngày
(29 Đánh Giá)
5.8
expertonphp

HELLO SIR, PLEASE CHECK YOUR INBOX TO SEE MY BID DETAILS. THANKS!

$75 USD trong 2 ngày
(76 Đánh Giá)
5.7
tiabrains

Dear Sir/Madam, Please check your inbox. Kind Regards,TIA Team.

$175 USD trong 4 ngày
(26 Đánh Giá)
5.8
froiden07

I can do this .. I have an experience..

$80 USD trong 1 ngày
(67 Đánh Giá)
5.5
maasoft

Let start doing it [url removed, login to view] the admin details and site details to start work.

$150 USD trong 3 ngày
(57 Đánh Giá)
5.5
phanhuutri

Hello, I'm very interested your project. Please check your inbox for more details, thanks!

$90 USD trong 2 ngày
(40 Đánh Giá)
5.0
SiMka85

Hi! ready to start!

$100 USD trong 2 ngày
(34 Đánh Giá)
5.0
JoomlaVogue

Hello Sir, I have gone through the details you have provided and would be pleased to work on this with you to deliver the results that you have expected and I am sure you will not be disappointed if you give us this c Thêm

$210 USD trong 20 ngày
(8 Đánh Giá)
4.4
mrintelligence

Look for LIVE Demo in PMB

$50 USD trong 2 ngày
(5 Đánh Giá)
3.9
jdkavar

G'Day Mate, Let do it and make it extremely user friendly for your website user. Cheers buddy. jaydip

$240 USD trong 2 ngày
(1 Đánh Giá)
2.8
metizsoft

Hi, Please check PMB for more details and our portfolio. Thanks.

$70 USD trong 1 ngày
(2 Đánh Giá)
2.5