Web Form (HTML) that sends email via PHP (must complete today)
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- Proposals: 18
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- #1073701
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Wordpress Developer,Html,PHP, Responsive Site, SEO,PSD to WORDPRESS, PSD to HTML,Shopify,squarespace
Gurgaon
⭐⭐⭐⭐⭐ TOP Developer on PPH: JS (AngularJS, NodeJS, React JS/ReactNative, IONIC), PHP (Laravel, Zend, Yii, CI), CMS(WordPress & Magento) AWS & GCP ⭐⭐⭐⭐⭐
Bay Minette
***Expert Web Designer and Developer** || Laravel, PHP, WordPress, HTML-CSS-JS Expert
Dubai
Expert in Graphic/Web/Logo Designing|PHP | WordPress | Magento | Joomla | osCommerce | PrestaShop | X-Cart
Chandigarh
113521080604511826231163822112108010673281054786101482493596192525758579722269
Description
Experience Level: Intermediate
I have a very basic web form: http://digitaldiploma.knowcrunch.com/ (click BOOK NOW to see the form) which is simple PHP and HTML (and maybe JS and CSS connected to the form). No CMS.
I need to add the following fields to my form (HTML and PHP):
Name: (required)
Last name: (required)
Email: (required)
Mobile phone: (required)
Address: (Street) (optional)
(Number, P.O. box, City) (optional)
(radio buttons)
Ticket type: (Early Bird/Normal, Unemployed, Student, Group, ACG Alumni) (required)
(radio buttons)
I want to pay: (Card, Bank Transfer, Cash) (required)
Check box (I need an invoice)
Check box (by clicking this I accept the terms)
BUTTON (Book Now)
--
When clicking form sends an EMAIL with all data and the page redirects to a THANK YOU PAGE (which is ready).
I need to:
- Customize the PHP file associated with all these fields.
- Customize the HTML form with all these fields.
- Make sure CSS & JS are also in-line
- Make sure form is secure
- Make sure submit button does not submit twice.
- Make sure the form accepts and sends by email all different alphabet characters (UTF8)
I need to add the following fields to my form (HTML and PHP):
Name: (required)
Last name: (required)
Email: (required)
Mobile phone: (required)
Address: (Street) (optional)
(Number, P.O. box, City) (optional)
(radio buttons)
Ticket type: (Early Bird/Normal, Unemployed, Student, Group, ACG Alumni) (required)
(radio buttons)
I want to pay: (Card, Bank Transfer, Cash) (required)
Check box (I need an invoice)
Check box (by clicking this I accept the terms)
BUTTON (Book Now)
--
When clicking form sends an EMAIL with all data and the page redirects to a THANK YOU PAGE (which is ready).
I need to:
- Customize the PHP file associated with all these fields.
- Customize the HTML form with all these fields.
- Make sure CSS & JS are also in-line
- Make sure form is secure
- Make sure submit button does not submit twice.
- Make sure the form accepts and sends by email all different alphabet characters (UTF8)
Tolis A.
100% (4)Projects Completed
1
Freelancers worked with
1
Projects awarded
50%
Last project
16 Sep 2016
Greece
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