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Design & Host Website form to capture data & download PDF

Hi, I want to send email traffic to a form on a website which captures some basic details (first name / last name etc).

Once they fill in the form and the form is siubmitted, i want them to be redirected to a thank you page where they can download a free information PDF ebook we have written for them.

i want a downloadable csv file of the details submitted in the form as well as download details etc.

I need you/the site to:

1. Create the 2 page webpage (Page 1 = limited text that i will provide + user information form, Page 2 = thank you text and PDF download) . I want to be able to add other fiekds to the form later if required.

2. Purchase and host the webdomain

3. Host the form and PDF

4. Create a Captcha verification

5. Send me an email every tme someone fills in teh form with the full details they entered

6. I want to log and append this collected information to a file + success/fail status

You have suggestions, please make a proposal when you bid. I believe that bidders should already have something they can build on: I know this is a very simple project, and I expect low bids.

thanks in advance

S

EASY and FAST WEB FORM PROJECT / Need completed by Friday May 13th, 2011.

I need a simple online HTML/PHP registration form that will send a registration submission email to us and redirect the client to a thank you page. We want the ability to easily modify the registration form and thank you page later.

--------------------------------------------
FEATURES
--------------------------------------------

- Registration form
- Thank you page
- Approx. 4 form fields
- PHP processing with spam protection
- Antispam Captcha image protection box
- Emails registration information to owner
- After submission user is redirected to thank you page
- Easy to edit HTML and PHP code so we can alter later
- Text will be provided once project is accepted
- Winning bidder must provide free hosting of form


Registration Form Fields

Personal Information:

• First Name [Text field]
• Last Name [Text field]
• Country [Text field]
• Email [Text field]

Users submit the form and the results are sent to an email address. Must be clean looking and 100% reliable

This should be a quick job for any decent developer. Possible future work.

Budget - $40

Kỹ năng: Thiết kế đồ họa, HTML, PHP, Thiết kế trang web

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Về Bên Thuê:
( 2 nhận xét ) London, United Kingdom

Mã Dự Án: #1047163

5 freelancer đang chào giá trung bình $98 cho công việc này

sohan1

Pls check Pm for details

$30 USD trong 1 ngày
(11 Đánh Giá)
5.0
gaurav6785

Greetings....I will be glad to work with you on this project !!!

$200 USD trong 4 ngày
(0 Đánh Giá)
0.0
ceofixrix

Hi Dear, FixRix Software House([url removed, login to view]) is a big name in the Web Industry since last three years. Since originated, we are striving for the Customer’s Satisfaction which is the whole summary of our mission sta Thêm

$150 USD trong 7 ngày
(0 Đánh Giá)
0.0
stanleychan

Not difficult in case

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

hi there, please read your pm.

$60 USD trong 5 ngày
(0 Đánh Giá)
0.0