Urgent 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: #4081963

Dianugerahkan kepada:


Hi. I'm ready to work. Regards, Max.

$140 USD dalam 5 hari
(23 Ulasan)

8 pekerja bebas membida secara purata $170 untuk pekerjaan ini


Greetings! Clear with the requirements. Thanks, Enayet

$200 USD dalam 2 hari
(410 Ulasan)

hi im experimented in web developement can we start ?.Thanks.

$250 USD dalam 2 hari
(9 Ulasan)

I'm interested.

$180 USD dalam 7 hari
(62 Ulasan)

More than 7+ years of experience ready to work for you.....

$250 USD dalam 3 hari
(12 Ulasan)

Hi, We have worked on similar requirements earlier. Please check your PMB for more details.

$120 USD dalam 3 hari
(5 Ulasan)

Orglobe hello

$100 USD dalam sehari
(8 Ulasan)

Would be glad on doing this job. Looking forward to this task.

$120 USD dalam 8 hari
(0 Ulasan)