Contact Form (code for a HTML5)

$30-250 USD

Closed

Posted

about 12 years ago

$30-250 USD

Paid on delivery

I need a form with fill in blanks and drop down menus for a HTML 5 page and that the form is verifiable so that all the options are filled before it can be email back to me. I also need that once the form is submitted it emails to me. I should be able to change the drop down menu, email and questions. I am using Dreamweaver to embed the code I need it on a code base. I need the background to be light transparent grey and text off white: Name:___________ Phone:____________ Email:______________ Date that you want your video to be produced:______________ Which city tour would you like your video to be produced (drop down menu) -South Florida -Las Vegas -LA/Santa Monica -New York Package (drop down menu) -Package A -Package B -Package C -Special Video for: (drop down menu) -Solo -Couple -Group -Other Your budget for this video:________________ Comments:__________________ Send (button)

Project ID: 1500443

About the project

22 proposals

Remote project

Active 12 yrs ago

Looking to make some money?

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22 freelancers are bidding on average $66 USD for this job

@madhavdutta

Hi, I am a web development professional having more than 10 years of experience on various technologies with many big corporate and a track record of 100% project completion. I have worked with more than 60 clients spread across more than 10 countries. You can take a look at my profile here on freelancer.com for reviews from our past clients. I have shared examples from past work in your inbox. I have seen the requirement and am ready to take on the project. Let us discuss and get going. Regards Mady

$250 USD in 7 days

4.7

(230 reviews)

8.8

@AsherAli

I can build the form with validations within day after my selection.

$50 USD in 0 day

5.0

(391 reviews)

7.7

@sthaprakash07

Hello sir/madam, i am expertise in html5/xhtml/css/jquery and jquery works and can provide 100% satisfaction, I can do your work perfectly and provide you with w3c validated, css based layout, all browser supporting, tableless and clean css codes. plz view the pm to see my works.

$50 USD in 1 day

4.9

(355 reviews)

7.8

@guru004

I would like to work on this job :)

$49 USD in 3 days

4.7

(1030 reviews)

8.3

@riseofaryan

Creative web designer/css developer here interested in taking up your project. Please view PM for my past works and other details.

$150 USD in 4 days

4.9

(116 reviews)

7.0

@GoranUsljebrka

Hi sir. I am ready to finish it. See PM for detalis

$30 USD in 1 day

5.0

(77 reviews)

5.8

@salientcomputer

Hi Please see PMB.

$50 USD in 1 day

4.2

(217 reviews)

6.6

@pablogancharov

I can do the job. Let me show the quality of my jobs.

$100 USD in 7 days

5.0

(1 review)

3.8

@PARITech

Hello There! I can do this work with great quality in given time. Please check your message box for details. Regards Sachin Jaiswal

$30 USD in 1 day

4.7

(19 reviews)

4.0

@muditha256

let me do the project

$30 USD in 1 day

4.6

(9 reviews)

3.6

@srini01

see pm for our portfoloio rgds srini

$100 USD in 6 days

5.0

(1 review)

1.2

@monkeyeland

The form fields must be validated and only allow letters and numbers in text fields and email must have valid pattern. I would make a html5 form with serverside (PHP) validation. On unsuccessful validation the script will display a helpful error message next to the invalid input field. I have scripted more than 10 different contact or support forms. The form inputs will be save against spambots and if aplicable SQL injection. The textfield themselves and their labels can be easily altered in the top of the script. I can surely finish this for you in one day.

$30 USD in 1 day

0.0

(0 reviews)

0.0

@vndesignz

I can help you. It's really easy to do. I make sure that your job will be finished well. Thanks sir!

$30 USD in 1 day

0.0

(0 reviews)

0.0

@pc349bds

Hello I can do this project for you easily I can write both a Javascript and PHP validation before it sends it to your email address. I can write the php mail script for you if you do not already have one. I can also make a short video of how to edit the validation to suite your needs should they change. I have done work like this in the past and can complete it quickly for you.

$30 USD in 1 day

0.0

(0 reviews)

0.0

@grdogar

Dear i ll do this efficiently...Thanks

$150 USD in 3 days

0.0

(0 reviews)

0.0

@heeralal70

i can do this foarm in html5 i have exp of it with validations that you want.

$35 USD in 2 days

0.0

(0 reviews)

0.0

@PHPWARLORD

Will give you, what you actually need..!

$60 USD in 1 day

0.0

(0 reviews)

0.0

@gourisoft

I am interested to do work... plz chk pm...

$30 USD in 2 days

0.0

(0 reviews)

0.0

@BlincoOS

Hello there! This is an extremely easy job, I can do this in less then two hours. I can also start right away, please check your private message what I have sent you.

$40 USD in 1 day