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Script development

Going to host a contest on my website. Need a script that will gather the email for myself and it will also gather info such as first_name

last_name

email_address

address

address_2

city

state (two character abbreviations such as NY or WA)

postal_code (5 digits)

country (US or CA)

phone_number (10 digits no spaces or characters)

gender (M/F)

age

with this info implemeted [url removed, login to view]

Kemahiran: Perl, PHP, Memasang Skrip

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Tentang Majikan:
( 27 ulasan ) regina, Canada

ID Projek: #14868

Dianugerahkan kepada:

Osiris990

You and I have done business before, and I believe I have said all that I need to on the case and proven myself in the past. =)

$100 USD dalam 3 hari
(2 Ulasan)
3.6

13 freelancers are bidding on average $111 for this job

Candysinc

Please see PM ...

$150 USD dalam 3 hari
(22 Ulasan)
5.6
Gudoc

We'll start immediately at once after your selection. Please, check our reviews to see, that we are experts in all kinds of scripts, so this project is not a problem for us. It will take no more than 12 hours to give y Lagi

$120 USD dalam sehari
(14 Ulasan)
5.6
webmentor

Hello sir, We can provide you with an excellent [url removed, login to view] :)

$150 USD dalam 3 hari
(6 Ulasan)
4.9
sublimecode

Form processors (in Perl or PHP) are something with which I have a lot of experience. I have developed large survey forms which saved the results to file and forms which allow library patrons to get technical support, Lagi

$100 USD dalam sehari
(12 Ulasan)
4.1
jarmaug

I will PM you some examples of my work. You describe a VERY easy project. Almost wish you didn't budget so much.

$100 USD dalam sehari
(0 Ulasan)
0.0
mikelucky

To provide form for capture of required information, input by website visitor. To set up database and table for storing information. To provide script to add information to database table. To provide script allowing Lagi

$100 USD dalam sehari
(0 Ulasan)
2.4
bizcom

Hi! I think you have found the right partner, we have already done complete quizzing website, logon to [url removed, login to view], everything is ready to be delivered. Company : BIZCOM INTERACTIVE Website: [url removed, login to view] Lagi

$100 USD dalam 5 hari
(0 Ulasan)
0.0
dottech

HI, I can do this for you either in php or asp depending upon your webserver support. I can start immediatly. Warm Regards Anna.

$110 USD dalam 2 hari
(0 Ulasan)
0.0
jwebdesign

Our new PHP guy can finish this in a day.

$100 USD dalam sehari
(0 Ulasan)
0.0
thangphp

My group have more experience years in Web Programming (PHP, .NET, Java...) in foreign software companies as USA, Japan... I'm team leader, project manager of Web Development in big Software company in VietNam, I had Lagi

$100 USD dalam 2 hari
(0 Ulasan)
0.0
edevnet

Let us handle your project and get the results you expect quickly. We'll work until you are 100% satisfied.

$105 USD dalam 2 hari
(0 Ulasan)
0.0
codeworld

Hi, Low bid does not mean a low quality but starting my career on GetAFreelancer. i have three years professional experience in web development using ASP. Please read PMB Thanks

$106 USD dalam 5 hari
(0 Ulasan)
0.0