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Online Form

I need forms to screen, capture, and store input data from applicants. I have a hostgator account with mysql database enabled. I would like to be able to use this form on a variety of websites. The look and feel of the form is very important. It needs to be engaging so that the applicants do not lose interest during the application process. There will be several different form fields used, including:

Radio buttons

text

checkbox

file upload

image upload

email

numeric data

as well as others

Features that I would like to be included in the form are:

Secure

CAPTCHA SPAM

Attachments

Multi-Page

Item and Page Rules

Email Notifications

Embeddable in my site

It is very important that the parse script can create the table and send the information to the proper place in the database. I would also like to be able to receive an email when a new submission is made.

This form will be accessed heavily from mobile devices as well so the coding should be light and accessible.

Captcha or another form of security should be used to limit the amount of spam received.

Kỹ năng: HTML, Javascript, MySQL, PHP, Thiết kế trang web

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Về Bên Thuê:
( 0 nhận xét ) Fort Lauderdale, United States

Mã Dự Án: #1021680

11 freelancer đang chào giá trung bình $84 cho công việc này

webcourage

Yes, I am the perfect one you are looking for this project. Allow me to work with you after see the PM.

$125 USD trong 0 ngày
(145 Đánh Giá)
7.3
freeworks

Please check my PM

$80 USD trong 1 ngày
(229 Đánh Giá)
7.2
acesolution

Lets Do It..........thanks

$80 USD trong 1 ngày
(128 Đánh Giá)
6.7
webmagics

Ready to start on it.Please see PMB for details. Thanks

$70 USD trong 2 ngày
(48 Đánh Giá)
6.2
triadb

Hi, please check pm

$60 USD trong 7 ngày
(21 Đánh Giá)
4.8
sthmanish

i can do the job

$50 USD trong 2 ngày
(9 Đánh Giá)
3.2
gslogics

Respected sir, we can do this for you, Please check you PMB. thanks

$60 USD trong 1 ngày
(0 Đánh Giá)
0.0
bpnetcoder

Ready to work.

$50 USD trong 1 ngày
(0 Đánh Giá)
0.0
dotcomsystem

Please check the PM... we have a experience team for similar type of job.. ready to start at once...

$50 USD trong 1 ngày
(0 Đánh Giá)
0.9
rkalnins

Please view PM. Thanks

$50 USD trong 2 ngày
(0 Đánh Giá)
0.0
manujaya7lk

Dear Sir, I am a Software Engineering undergraduate and would like to go with your project. Thanks

$250 USD trong 30 ngày
(0 Đánh Giá)
0.0