Quote Reservation Form

A form to capture insurance information needs from our customers. Must be

1. C#/.NET

2. Ajax/jQuery to gather information. No PostBack

3. MySQL database. All tables should begin with custom_<table names>

4. The form should begin with a single button in the middle that says "Begin Quote"

5. When Begin Quote is clicked, a back and Next button will appear at the bottom. Back will be to the bottom left and Next to the bottom right. The user will click next to go to the next screens, or back to return to the previous screen (no PostBack, all ajax)

6. The screen will slide and the next screen will say: "Select State". When this is clicked, a state field will appear below

7. The only state in the drop down will say "Ohio"

8. The next screen will have a checkbox where the user can select "Home Owner/Renter Insurance", "Auto Insurance". The label will say "Select insurance type"

9. After the options above are clicked, show a text box for the user to enter their Zip Code. Do not bother validating the zip code as the PDF document specifies. Ohio is the only state that can be selected so we are expecting Ohio zip codes only

*Report area so all the entered quotes can be viewed


*The rest of the form data is captured in the PDF document and should be used to drive the rest of the quote form.

Kemahiran: AJAX, Pengaturcaraan C#, HTML, Javascript, jQuery / Prototaip

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Tentang Majikan:
( 21 ulasan ) Akron, United States

ID Projek: #17111474

32 pekerja bebas membida secara purata $519 untuk pekerjaan ini


Just checked the attached documentation; Home Owner, Auto Insurance and Both Home Owner/ Rental and auto Insurance available; User fill up the required form and data be saved into database. This is the main theme of th Lagi

$555 USD dalam 10 hari
(121 Ulasan)

Sure I can create a fully mobile responsive Quote Reservation Form and gone through the attached pdf and found few things aren't described like Services/coverage so it would be great if we could discuss first. AVAIL Lagi

$750 USD dalam 10 hari
(368 Ulasan)

Hi, We are very interested in this project. I have read your above description and i think its well within our range to execute this is in a good time frame so would you be kind enough to message me so we can have a Lagi

$555 USD dalam 10 hari
(40 Ulasan)
$555 USD dalam 10 hari
(55 Ulasan)
$555 USD dalam 10 hari
(54 Ulasan)

Hi I have read your requirements and would like to discuss further as i am an expert ASP.NET,MVC,C#,SQL developer and have developed complex database driven applications in the past several years. Please check Lagi

$526 USD dalam 10 hari
(98 Ulasan)

hi Nice to meet you. I read your job posting very carefully and I am interested. I have a good skill in .net , html, jquery, programming. I am very familiar with c# language, too. You can check my ability in my pr Lagi

$555 USD dalam 10 hari
(49 Ulasan)

Hello, I saw the attached quote form and I can make a similar responsive form. I have more than 7 years of experience on .NET platform. I had implemented similar form features in few of my projects. Let me know a good Lagi

$500 USD dalam 10 hari
(48 Ulasan)

Dear Sir. I've checked the job description carefully and feeling confident to handle the project. Happy to discuss our possible collaboration. Looking forward to work with you, Chunyan

$555 USD dalam 10 hari
(29 Ulasan)
$500 USD dalam 10 hari
(35 Ulasan)

I have more than 14 years experience in C#, MVC, ASP.NET, VB.NET, ASP, VB6, Webservice,Windows Service, SQL Server, MySQL, MongoDB, RDLC Report, bootstrap, AJAX, Kendo UI,Devexpress and Jquery. I can complete this p Lagi

$675 USD dalam 10 hari
(28 Ulasan)

Hi there I read your proposal and understood your idea. I am an ASP .NET C# & jQuery / Prototype expert. You can check my work in my local server. I think it s the best way you can test me. I hope to work with yo Lagi

$555 USD dalam 10 hari
(36 Ulasan)

Hi There, Greetings! I have developed similar app for android and iOS and I can make this possible for web also with complete responsive layout. I can assure you that it will be done with perfection and in given t Lagi

$555 USD dalam 10 hari
(21 Ulasan)

hello,how are you. i read your bid carefully. i am Reservation System expert and have full experience for 7 years. C#, .Net is my top skill and my interested skill. I can provide most quality and high fast. if you Lagi

$555 USD dalam 10 hari
(2 Ulasan)

Hello, the hiring manager. I read your job description you have required Quote Reservation Form in Wordpress. I have five years experience in AJAX, C# Programming, HTML, Javascript, jQuery / Prototype.

$250 USD dalam 10 hari
(83 Ulasan)

Hi, I see you're looking for .NET/C# expert to create a web form I am a web developer with 15+-year experience . I work remotely on DigitalRay company - [login to view URL] - LA (USA). Technical knowledges: [login to view URL] JavaS Lagi

$250 USD dalam 10 hari
(48 Ulasan)

Hi Myself expert in Dot net technologies with 12+yrs of experience in software development. Developed various web and desktop based projects in Finance, Insurance, Research, Education , Research and Retail Domains. Lagi

$250 USD dalam 7 hari
(24 Ulasan)

Hi, We can create capture insurance information we are expert in C#/.NET, Ajax/jQuery. My name is Daniel, and I am the Business Analyst at GOLPIK. We are a Web Design & Development company, based in Lombard, IL w Lagi

$700 USD dalam 10 hari
(10 Ulasan)

HI there, I can design and develop any kind of website. Can you please come on the chat to discuss more? I can start immediately and by the way good at ajax. Thanks

$667 USD dalam 10 hari
(22 Ulasan)

Dear Sir/Madam, I read the attached pdf file. I can create Quote Reservation Form for you using .NET with ajax. I have more than 8 years of experience in software development and web development using Microsoft Lagi

$250 USD dalam 10 hari
(25 Ulasan)