HTML5 Contact Forms - Need 2 forms connected to our hosting platform's database

Hello, I have a few html sites that I need finish up some contact us forms for a small HTML5 website with 2 forms:

1. a LEAD generating form with basic user input fields: name, email, phone, message, policy number, and a selection of "new" or "old" claim. Also, we need to pass the type of claim based on the page the user is on the page the user is on when they complete the form.

2. A generic contact form.

These forms must generate a notification email and must write to the provided database which the client can retrieve easily as needed.

We will either be using one of these two hosts:

[login to view URL]

[login to view URL]

We are hosting a few sites and can use you for more work and future support for changes if the job is done well.

Happy bidding! Thank you in advance.

Kemahiran: HTML5, PHP, Pengehosan Web, Reka Bentuk Laman Web

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Tentang Majikan:
( 71 ulasan ) Miami, United States

ID Projek: #14785706

Dianugerahkan kepada:


I am having more than 13 years experience of working as a web developer and having a great exposure of website Development Relevant Skills and Experience PHP,MySQL and jQuery Proposed Milestones $20 USD - Complete J Lagi

$20 USD dalam sehari
(44 Ulasan)

22 pekerja bebas membida secara purata $27 untuk pekerjaan ini


I am professional designer and developers i have a 5 year experience in that field. my recent work [login to view URL] [login to view URL] [login to view URL] Lagi

$25 USD dalam sehari
(307 Ulasan)

Hi We are interested. We went through your post and got it clear. So for first you want if user select old it will take old claim page right? Can you explain what is content of that page? Relevant Skills and Experienc Lagi

$62 USD dalam 2 hari
(157 Ulasan)

Hello, My name is Lakhan, I have a vast working experience in Core php website development and have developed number of Core websites in my career. Thanks Relevant Skills and Experience Php Html Css Proposed Mileston Lagi

$18 USD dalam 0 hari
(158 Ulasan)

Hi there, I am php developer.I am interested to build .Just start chat with me I will show my previous work [login to view URL]'s start chat with me thanks Relevant Skills and Experience Many year experience in web developmen Lagi

$30 USD dalam sehari
(105 Ulasan)

Hi As i have gone through your job description and undetstood that we are perfect fit for this job so please give as an chance to work for you we will definitely do it. Relevant Skills and Experience We have tremendo Lagi

$50 USD dalam sehari
(128 Ulasan)

I can connect your forms to your hosting database. Pay me after completing the job and pay only if you are satisfied with job else no need to pay. please chat with me to discuss further [login to view URL] Relevant Skills Lagi

$25 USD dalam sehari
(221 Ulasan)

hello sir i am expert in php i have 5 year experience in this field you will satisfy with my work i can do this work aasap Relevant Skills and Experience php Proposed Milestones $25 USD - milestone

$25 USD dalam sehari
(136 Ulasan)

I assure you would face no problem in terms of timeline, response and deliverance of high quality work. Relevant Skills and Experience PHP/MYSQL,CSS Web 2.0, Java Script, Joomla, OS Commerce, Wordpress, Prestashop, Ze Lagi

$30 USD dalam sehari
(79 Ulasan)

Hi there, I can do it. I can start right now and will provide it to you ASAP. Message me for more details. Relevant Skills and Experience PHP, MYSQL, Form Submission, Bootstrap, HTML5, Proposed Milestones $15 USD - F Lagi

$15 USD dalam sehari
(13 Ulasan)
$25 USD dalam sehari
(62 Ulasan)

Hi, Immediate Available, Price/time after detailed discussion [login to view URL] [login to view URL] [login to view URL] [login to view URL] Let's talk in detail Relevant Skills and Experience php codeigni Lagi

$25 USD dalam sehari
(29 Ulasan)
$30 USD dalam 2 hari
(5 Ulasan)

A proposal has not yet been provided

$25 USD dalam sehari
(10 Ulasan)
$25 USD dalam sehari
(8 Ulasan)

We understand your requirements. Please provide us your exact requirements or give a message on chat, So that we can show you a sample in next 24hrs. If you satisfy on that then will move forward. Relevant Skills and Lagi

$27 USD dalam 3 hari
(4 Ulasan)

you need HTML5 Contact Forms - Need 2 forms connected to our hosting platform's database Relevant Skills and Experience Portfolio:- [login to view URL] [login to view URL] [login to view URL] Lagi

$30 USD dalam sehari
(12 Ulasan)
$35 USD dalam sehari
(10 Ulasan)
$15 USD dalam sehari
(4 Ulasan)

Hi, I have read and understood your project's details. I can start working now. Relevant Skills and Experience php, php email, html, web design Proposed Milestones $10 USD - -

$10 USD dalam sehari
(6 Ulasan)

My Portfolio URL [login to view URL] Dear Hiring Manager, Why should you hire me? Strong skills: PSD, HTML, HTML5, CSS, CSS3, BOOTSTRAP, Relevant Skills and Experience HTML5 / Contact Form / PHP contact form Lagi

$25 USD dalam sehari
(0 Ulasan)