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289730 Insurance Quote Forms

I need 4 Insurance Quote Forms for an insurance agency website. The forms have to be in multiple pages and not all in one page. I will provide a webpage template where the form will be embedded. I have been looking at some websites that provide form services, however I cannot use them because the contents of the form will be hosted by them and forwared to me, and i don't want that.

I need the following features:

I need 4 insurance quote forms with the following features:

1. 4 Insurance quote request Forms for Auto, home, life, health.

2. Each form data must be collected via multiple pages.

3. Each form should have auto responder feature as email confirmation.

4. Data submitted can be collected via web, database, or email.

That's it!

To see what types of data we will be collecting on the forms, you can look at these sample forms:

[url removed, login to view]

On the sample page above from quotebreeze, you can simply select each line of business such as "auto" "home" etc..and see what the form looks like. Like I said, I like their form, but don't wish to use it since it's hosted by them. So I need 4 similar forms.

My website is already designed, and I will provide a the layout of the page where I need those forms, as well as secured urls, etc.

Thank you in advance.

Kĩ năng: Bất kì công việc gì, Javascript, Perl, PHP, Thiết lập Bản thảo, Thiết kế trang web

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Về Bên Thuê:
( 56 nhận xét ) Orlando, United States

ID dự án: #2036031