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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:
( 1 review ) Doetinchem, Netherlands

Project ID: #12095487

78 freelancers are bidding on average $153 for this job

$147 USD in 3 days
(783 Reviews)
8.3
toinnisfree

I have read your project details, and I am interested in offering my services. I provide 100% satisfaction guaranteed on all my work. Milestone is required to begin; to be released when the job has been satisfactor More

$220 USD in 4 days
(787 Reviews)
8.3
mituld

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

$237 USD in 10 days
(352 Reviews)
8.1
WebWars

Hello there, I have 7 years experience in web design and development and I am really looking forward to work on this project. You can check my work here: [url removed, login to view] and here: More

$210 USD in 3 days
(233 Reviews)
7.6
eplanetsoftindia

We can create this form similar to the ref form for you at very low cost as we have a team of experienced designers and developers. We want to have long term relations with our clients that's why working at very good p More

$50 USD in 3 days
(291 Reviews)
7.5
tlchung

I am a skilled developer, I can create the contact form and send it to your email. let discuss more via private message, thanks.

$155 USD in 3 days
(302 Reviews)
7.2
Risalat1

Ready to start work with you, would like to discuss it further, let me know if you are free to discuss it thanks

$266 USD in 5 days
(286 Reviews)
7.6
vtechiti

Dear Employer, I have gone through your requirement and will be glad to work for you. Please take a look of some of the website done by me: ===================================================== [url removed, login to view] More

$115 USD in 4 days
(337 Reviews)
7.3
AltiuseCreaton

Hi, I can do your job but need to make a short chat discussion with you. let me know if possible for you. please let me know. You can check my profile and feedbacks of clients which itself I got from them . Hope the More

$266 USD in 3 days
(59 Reviews)
6.7
vickycolt

Hi sir,I have read the description and clearly understood the requirements.I can start right away. Please let me [url removed, login to view]!!!

$250 USD in 3 days
(190 Reviews)
7.0
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.

$150 USD in 5 days
(170 Reviews)
6.6
eClickApps

Hi, After reading your project description, I know I can help you! as we have worked on various projects similar to your requirements. ►►Please check some of our previous reputation below-- [url removed, login to view] More

$100 USD in 3 days
(82 Reviews)
6.3
hardcode4u

Dear Sir, I have done something similar form before. Please check my work here ​[url removed, login to view] [url removed, login to view] Thanks Ishant

$210 USD in 7 days
(72 Reviews)
6.5
$30 USD in 3 days
(196 Reviews)
6.4
BitLabs

Hello, I have gone through your outsourced requirements "Create a contact form that sends info to my email" and have analyzed that I have right skills (Bootstrap, CSS, HTML, PHP, Software Architecture) to execute More

$148 USD in 3 days
(116 Reviews)
6.3
kopila123

Dear Sir / Madam, We can create this form and send the information via email. We will create this in php Thanks, Kopila

$222 USD in 3 days
(114 Reviews)
6.3
evadevlopers

Hi There, Ready To Start now. I have 4+ years experience in PHP as well as Wordpress, Magento,OpenCart, Prestashop, OsCommerce….and also in responsive CSS3, bootstrap, html5 . etc You can check our work http://www More

$250 USD in 2 days
(165 Reviews)
6.4
MakhijaRavi

Hi, We have checked the form on [url removed, login to view] We can develop the same for you. We have prior experience in it. Have a look at our previous work: 1. http://nfigl More

$61 USD in 7 days
(55 Reviews)
6.5
AshleyCASTILLO

Hello, Greetings ! I am writing you regarding the job description and you would be happy to know that I hold all the skills which are required to complete the project as I have 6+ years of experience on core Php, More

$166 USD in 5 days
(56 Reviews)
6.1
$100 USD in 2 days
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5.9