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LITS Incident Management Forms

We need a quote to help us build some web forms for our web site.

It is effectively building 3 web pages to accept customer service requests.

The first web page directs people to the 2 other pages

The 2 other pages capture information and auto email the information captured to an inbox.

The attached files should give you the overview.

BASIC SETUP OF AUTO FLOW (Check the Process Flow Diagram attached)

1. A new Button will be placed on all company web page headers (top right of the page) and in the top menu bar.

2. Selecting the button will send you to Page #1 (The Service Portal)

3. From Page #1 you select one of the following:

3a. A Business Service Request (which sends you to Page #2) The Blue Form

3b. An Education Service request (which sends you to page #3) The Green Form

3c. A general Enquiry (which auto emails "sales") White

4. In Page #2 you fill in the form and an Auto email is sent to "service" email inbox

5. In Page #3 you fill in the form and an Auto email is sent to "service" email inbox

The fonts, colours and design of the Green Form (Page #3) should remain the same as it is similar to a customer page. The Blue page should look similar to keep the two pages the same.

We can provide the company logo as best as we have it.


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

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Về Bên Thuê:
( 2 nhận xét ) Sydney, Australia

Mã Dự Án: #1073600

Đã trao cho:


Expert programer here, please read the private message.

$100 AUD trong 4 ngày
(44 Đánh Giá)

13 freelancer đang chào giá trung bình $128 cho công việc này


Hello Sir, I am ready to code all the three email form for your website. Kindly accept the bid. Thanks & Regards, Rautella

$150 AUD trong 2 ngày
(313 Đánh Giá)

Please see pmb.

$180 AUD trong 3 ngày
(53 Đánh Giá)

Hi, Experienced developer here. Please check PMB

$125 AUD trong 3 ngày
(24 Đánh Giá)

hello sir i can do this all work in php. lets start. thanks

$100 AUD trong 2 ngày
(19 Đánh Giá)

We will deliver.

$100 AUD trong 2 ngày
(55 Đánh Giá)

Warm greetings, this is regarding your job posting on freelancer. It will be my pleasure to work on this project and also assure you that i will provide you fast turnaround,serious approach and great communication lev Thêm

$250 AUD trong 20 ngày
(2 Đánh Giá)

Hi,I have done this before! please see PM

$150 AUD trong 5 ngày
(7 Đánh Giá)

Hi, LeadingIT i can do this.

$45 AUD trong 1 ngày
(3 Đánh Giá)

check your pmb

$100 AUD trong 3 ngày
(1 Đánh Giá)

cHeCk pMb................

$100 AUD trong 4 ngày
(2 Đánh Giá)

I have 15 years experience in web design and development as well as SEO and specialize in CMS solutions. I am from North/North East Texas and I am available at anytime by phone, email or other means as needed. Thêm

$200 AUD trong 7 ngày
(0 Đánh Giá)

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$60 AUD trong 3 ngày
(0 Đánh Giá)