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Create a contact form that sends info to my email

We need a copy of the following form:

[url removed, login to view]

Once the form is submitted an email will be fired to Admin. No data will be stored in database.

Scenario 1:

o Step 1 – Choose Type of Move

There is multiple “Type of Move”. User will select any 1 and based on it the remaining steps will be listed and followed by user. In scenario 1 we will select first option and whole process will follow based on the first option.

For example: We choose “Moving Local / Same State” option

Step 2 – Based on step 1 selection, step 2 will be displayed.

 Choose inventory

 Bedrooms

 Kitchen

 Dining room/meals area

 Lounge/family rooms

 Study/home offices

 Laundry

 Garden/outdoor

 Garage/shed

 Boxes

(*We assume Inventory fields will be same for all the options.)

o Step 3 – Choose Service Type

 Budget

 Affordable

 Premium

o Step 4 – Add pick-up details

 Suburb (will be provided by visitor)

Property type

 No. of bedrooms

 Access or parking restrictions

o Step 5 – Add Drop-off details

 Suburb

 Property type

 No. of bedrooms

 Access or parking restrictions

o Step 6 – Add Date

o Step 7 – Add Other Details

 Any other important details

 Quote request to expire in

 Email address (*If user is registered then this field will not be displayed.)

Once user submit the form it will take them to next form where they will enter their personal information like:

 First name

 Email address

 Password

 Phone number

 Scenario 2:

o Step 1 – Choose Type of Move

 For example: We choose “Moving a few Items” option

o Step 2 – Add Item Information

 Item description

 Height

 Width

 Length

 Weight

(*If more than 1 item then they will “Add another item” and field will be same for another item also.)

o Step 3 – Add pick-up details

 Suburb

 Property type

 Access or parking restrictions

o Step 4 – Add Drop-off details

 Suburb

 Property type

 Access or parking restrictions

o Step 5 – Add Date

o Step 6 – Add Other Details

 Any other important details

 Quote request to expire in

 Scenario 3:

o Step 1 – Choose Type of Move

 For example: We choose “Moving Office” option

o Step 2 – Choose Service Type

o Step 3 – Add pick-up details

o Step 4 – Add Drop-off details

o Step 5 – Add Date

o Step 6 – Add Other Details

Scenario 3:

o Step 1 – Choose Type of Move

 For example: We choose “Moving Office” option

o Step 2 – Choose Service Type

o Step 3 – Add pick-up details

o Step 4 – Add Drop-off details

o Step 5 – Add Date

o Step 6 – Add Other Details

Step 3 to step 6 will be same as Scenario 2.

Scenario 4:

o Step 1 – Choose Type of Move

 For example: We choose “Moving Fragile Items” option

o Step 2 – Add pick-up details

o Step 3 – Add Drop-off details

o Step 4 – Add Date

o Step 5 – Add Other Details

In short: we need just a copy of the same form displayed in the url above.

Skills: Bootstrap, CSS, HTML, PHP, Software Architecture

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About the Employer:
( 4 reviews ) Doetinchem, Netherlands

Project ID: #12095487

77 freelancers are bidding on average $152 for this job

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mondersky

I've seen the example and the scenarios you want me to follow! I am free to start now so hit my inbox so we can discuss this further.

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pavel27

Hello, I can do this. This is what I am doing best. Experienced web-programmer (web-programming experience > 10 y. [PHP/OOP/MVC(CakePHP, YII, FuelPHP, Kohana, Codeigniter), MySQL, MSSQL, PostgreSQL, Oracle, XML, Xht More

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Hi I work towards providing reliable, relevant and robust IT solutions at most competitive prices to my customers. I ensure 100% customer satisfaction so lets start Thanks

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