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PHP-mysql form programming

[url removed, login to view] Contact us form - programming

simply show confirmation and client side validation

and send all requests to an email we will give you

and confirmation email to user and online message


Urgent Submit Flat Pay request programming

[url removed, login to view]

with Db insert and Db CMS login to show all requests with admin login and ability to change admin and pass in the interface

with basic show all of all records by order date Descending

and ability to change status from pending to Active by CMS admin

and also you need to send emails to user and admin when there is a new record insert

this is php/mysql and we will give you access and u create the Requests table for now

we need to program all fields and validation based on what optional or not

and i need to see all CMS

+ Validation

also when in DB also an email to send to admin and user for the request made with confirmation

also You need to make sure after user register in this form when he click the login button on home page

he will have a username and password login and when he enter he can submit the same request without requiring him to enter all his info(provider)

info again and just the actual request info with patient info

[url removed, login to view]://[url removed, login to view]

program this for all states

CA selection will show different set of documents we will give you

You need to add all states and program the next page selection based on state selection CA or all others

after this project you will program a new registration form

in a new project

Kemahiran: MySQL, PHP

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Tentang Majikan:
( 333 ulasan ) Valencia, United States

ID Projek: #4073824

Dianugerahkan kepada:


Ready to get started right away.

$80 USD dalam sehari
(107 Ulasan)

17 pekerja bebas membida secara purata $125 untuk pekerjaan ini


understood your requirement and ready to start..................

$250 USD dalam 12 hari
(107 Ulasan)

Hello Sir, Ready to start now. We have excellent team of programmers and designers to work on your project efficiently and complete job in time. Please check "Private Message Box" for more details. Thanks

$40 USD dalam sehari
(147 Ulasan)

I am ready and expert in PHP and WordPress.

$150 USD dalam 5 hari
(87 Ulasan)

Hello, Thanks for your post. Kindly check our PMB.

$200 USD dalam 5 hari
(18 Ulasan)

PHP and MySQL expert is [login to view URL] 5+yrs of [login to view URL] to start Immediately.

$130 USD dalam 4 hari
(125 Ulasan)

Hi, Please check pm for detail.

$150 USD dalam 5 hari
(91 Ulasan)

Hello sir,3+ year of experience in Core php development. Ready to start. Thanks

$120 USD dalam 2 hari
(38 Ulasan)

Sir, we are ready to work in your project. Plz check private message for details. Thanks

$100 USD dalam 4 hari
(9 Ulasan)

See My PM Please!!!

$80 USD dalam sehari
(16 Ulasan)

Hello Buyer, I am Noddy from central India, I have gone through with the requirement and I understand it well. It will be a great experience to work with a buyer like you .... Kind Regards Noddy

$149 USD dalam 7 hari
(49 Ulasan)

Hi, Hope you are doing great!! Thanks for your time and consideration. For more details, please see your private message box. Regards, Anshika

$130 USD dalam 4 hari
(21 Ulasan)

hello, let program all your forms as per your requirements...i can provide you a nicely designed and password protected admin area where you can manage all the data that is submitted. i am web developer having 3 year Lagi

$250 USD dalam 3 hari
(16 Ulasan)

Requirements clear

$100 USD dalam 2 hari
(4 Ulasan)

Dear Hiring Manager , A Very Colorful Morning To You !!!!!! Your Requirement :- Website Updation. I saw your requirement carefully & I am damn interested to work on this project. I have done also so many proje Lagi

$120 USD dalam 5 hari
(1 Ulasan)

Hello, We would like to work on this with you to program form as we have done for many others in Website development. Check PMB for more details. Thanks,

$160 USD dalam 5 hari
(1 Ulasan)

I am ready to work with you. Check PM [login to view URL]

$100 USD dalam 2 hari
(0 Ulasan)

Dear sir After reading your project details,we are interested in this project and would like to bid on this project. we take care of our every client personally and has always long term relationship. we will do as Lagi

$30 USD dalam 2 hari
(0 Ulasan)

Hi, We have gone through with your requirements and we would like to state that we would be able to develop your project according to your exact specification immediately. God bless you. Thanks & Regards Techno Lagi

$100 USD dalam 2 hari
(0 Ulasan)