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Simple 'get a quote' form

I need a simple 'get a quote' script for my website. The visitor to the website will fill it out, hit 'submit' and instantly get a unique quote displayed and emailed to themself and to me.

I have a photo booth rental service with flat rates and I charge for travel to certain counties within my state.

The form will be relatively simple. The fields will be as follows:

-Name

-Email

-Phone Number

-Event Type

-Date looking to book

-Number of hours looking to book

-County where the event is

The last 2 fields will be drop-down fields. Depending on their choice, it will return with a unique price shown to the customer.

Example: 3 Hour booking is $500. Travel to xyz county is $60. It should return this unique price and show it to the guest, as well it should email it to them and to me.

Kĩ năng: HTML, MySQL, PHP, Kiến trúc phần mềm, Thiết kế trang web

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

ID dự án: #1016080

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

phpexp

Please check the PMB. Ready to start

$145 USD trong 3 ngày
(166 Nhận xét)
7.7
sureshdevi

I can do this work. Thanks, Suresh

$75 USD trong 2 ngày
(575 Nhận xét)
7.3
freeworks

Please check my PM

$120 USD trong 0 ngày
(209 Nhận xét)
7.1
shmai

have a glance at PM. regards,

$150 USD trong 3 ngày
(100 Nhận xét)
6.7
Joopo

Hi, please see PM. Thanks.

$80 USD trong 3 ngày
(44 Nhận xét)
5.7
heliumlogixpk

Let's start it immediately

$55 USD trong 0 ngày
(30 Nhận xét)
5.3
yinyinnguyen

Let me do it for you, just only one day

$70 USD trong 1 ngày
(4 Nhận xét)
4.3
vaithya

Please check PMB for more details.

$75 USD trong 1 ngày
(6 Nhận xét)
3.9
Days

I can do this in a minor time!

$30 USD trong 1 ngày
(19 Nhận xét)
3.8
divinedts

Please Read PM

$100 USD trong 1 ngày
(4 Nhận xét)
2.7
RMike

I just finished my own Webshop project for school and hereby 'graduated' as PHP Developer.

$100 USD trong 1 ngày
(1 Nhận xét)
1.6
musonepnk

ok, I'm looking forward to cooperating successfully.

$100 USD trong 3 ngày
(0 Nhận xét)
0.0
petobide

Hi, i'm intrestede on the job.

$100 USD trong 7 ngày
(0 Nhận xét)
0.0
bjena

Please check PMB

$40 USD trong 1 ngày
(0 Nhận xét)
0.0
Fixya

Make it for you as per mentioned requirement.

$50 USD trong 3 ngày
(0 Nhận xét)
0.0
ny2011

see your private msg.

$100 USD trong 2 ngày
(0 Nhận xét)
0.0
RoofRauf

I can do this exactly to your specifications. Please check PM.

$35 USD trong 2 ngày
(0 Nhận xét)
0.0