I need a sleek looking Java Script web form for a hat customization website. I have included an example of the form. I don’t mind if the look of the form is improved slightly, but it must function without any issues. I will work with you to complete it in case you do not understand something.

Some Features I need:

Boxes highlighted on mouse over and highlighted when they are being typed in.

? 1. Contact Information

? Important Details will require filling in, some will be mandatory

? province or state should generate only after they have chosen their country from drop down menu.

? 2. Select Cap Style

? When the customer selects their cap style I want a side box to be shown with notes about the cap they have chosen and a box with approximate pricing. I will give you pricing for each hat. (If I was able to customize this myself from somewhere, that would be better)

? The box with the cap the customer has chosen should stay highlighted.

? 3. How many caps would you like to order?

? In this box the customer can enter how many hats customer want. (minimum of 12 )

? 4. Select Colors

? Here customer will select the colors they want for each part of the hat

? Parts of some hats will only have certain options for coloration. Such as snakeskin fabric or gator. (I need to be able to define which parts of which hats this applies to.)

? When I read the completed form I would like the colors to be shown as HEX Code.

? Some Hats will use different colors, such as patterns. I will give you the patterns and which hats they belong to. (If I was able to customize this myself from somewhere that would be better.)

? 5. Where would you like your logos?

? Here customer will be able to upload their logos in various formats and tell me where customer wants to place it. The upload button and comment box should only appear if the customer has checked the box.

? 6. Would you like 3D or 2D embroidered logos?

? Form data should just tell me 3D or 2D

? 7. Would you like to upload additional art?

? Here the customer is able upload additional art and explain what it’s for

? 8. How did you hear about us?

? Simple text box where customer can enter information about where they found the website.


? I have read terms and conditions check box must be checked before customer can submit

? Mandatory fields must be filled before the customer can submit it. (I will tell you which fields are mandatory.)

? When customer has completed the form I would like them to pay to be able to submit the form. The Customer will need to use PayPal for this. I would like the form to be submitted only if they have paid through PayPal. If this cannot be accomplished I will accept alternatives.

? I would then like all form Data including images to be sent to me by email.

Kemahiran: Borang Elektronik, Javascript, PHP

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Tentang Majikan:
( 18 ulasan ) Toronto, Canada

ID Projek: #4063656

Dianugerahkan kepada:


Can start now!

$55 CAD dalam 3 hari
(46 Ulasan)

14 pekerja bebas membida secara purata $50 untuk pekerjaan ini


Great day, we can assist you for an optimum cost. Thanks

$30 CAD dalam 5 hari
(123 Ulasan)

Hi, I am a web developer with exeprtiese in php and mysql html/css javacript/jquery mainly and have 1year of experience in it I am interested in this job and can do for you. Had gave reasonable bid for the work y Lagi

$130 CAD dalam 3 hari
(59 Ulasan)

Hello! I have read your project's requirements and I can deliver it to you the exact way you describe within 1 day. Thank you.

$33 CAD dalam sehari
(19 Ulasan)

Although it's 1 day job but able to deliver it by Tuesday. Let me if it's okey, then choose me. Thanks

$45 CAD dalam 3 hari
(6 Ulasan)

Hi there, I've read the requirements and took a look at the image as well. I can make this form in workable via javascript, but the price would be $70, not $30. Award the project, if you want me to work on it. Thank y Lagi

$70 CAD dalam 2 hari
(4 Ulasan)

hi, i am a joomla developer. i am working with joomla since last 6 year i had done project with joomla 1.5 and joomla 2.5. i had done customization project of jomsocail, k2 , virtumart, sobi , mtree etc als Lagi

$30 CAD dalam 30 hari
(5 Ulasan)

Ready to work. Just check your mail to see my work profile.

$50 CAD dalam sehari
(7 Ulasan)

Hello. I have good skills in Javascript. I believe I can build this form for you. I am sorry to tell you but your budget is a little bit low for things you ask. I can build it for you. Regards, Alex.

$50 CAD dalam 2 hari
(2 Ulasan)

Hi, I am Microsoft Specialist Programming in HTML5 with JavaScript and CSS3. I can starts straight away and have this work done within 24 hours.

$30 CAD dalam sehari
(1 Ulasan)

We are a professional Outsourcing solutions company. We provide you with most experienced, dynamic and versatile personnel who are destined to quickly and effectively deliver your solution at the lowest cost. Our exper Lagi

$30 CAD dalam 0 hari
(0 Ulasan)

Ready to Roll...

$40 CAD dalam 2 hari
(0 Ulasan)

I am glad to work with you..

$50 CAD dalam 3 hari
(0 Ulasan)

While I am new at freelancing I have 30+ years of experience in software development. I teach javascript and html at the local community college. Designing and processing the form is straight forward. Providing a me Lagi

$60 CAD dalam 3 hari
(1 Ulasan)