Need a form built for a website that uses WIX

Ditutup Disiarkan 5 tahun lepas Dibayar semasa penghantaran
Ditutup Dibayar semasa penghantaran

I have a website already working. I need to add a form like the one attached that can be filled out by the person viewing the website. Fields are limited to the amount of characters. When the person filling out the form completes the form, there should be a send button. When he presses SEND...it sends him a copy of what he just filled out and also send an editable file with the name of the file being "the zip code he filled out"+"the first four characters of his email address" to a specific email address that I will give to the person awarded this job. Also, there are three fields. Open Mic, PTT and RX Only to the right of the User. These should be radio buttons. Only 1 of those can be checked per users. Also, there can only be a maximum of 12 "Open Mic" So, if the user tried to make a 13th Open Mic, a message box would pop up alerting him that he has reached his limit of 12.

Reka Bentuk Grafik HTML PHP Reka Bentuk Laman Web

ID Projek: #17002599

Tentang projek

17 cadangan Projek jarak jauh Aktif 5 tahun lepas

17 pekerja bebas membida secara purata $159 untuk pekerjaan ini

mmagr99

I am very interested in your project as I have done more than 150+ wix based websites in my carrier :) this one is not a big deal at all :)

$277 USD dalam sehari
(271 Ulasan)
8.7
brianconey

hello how are you I am wix expert . I am sure I can build your contact form as your requriement please contact me and discuss more thanks for your posting

$155 USD dalam 3 hari
(220 Ulasan)
7.2
webtrix8

Hello, I have read through your project and I am incredibly interested in taking on your project. I will be creating a form on your WIX website. I am an experienced developer with a diploma in the field of web dev Lagi

$250 USD dalam sehari
(76 Ulasan)
7.2
kishanlalyadav

Hello I'm ready to start for your project. I am sure i will deliver you wonderful result if we can work together. a+++++a++++A+++ I am hoping to hear from you soon.

$250 USD dalam 3 hari
(475 Ulasan)
7.3
SeniorWebDev1

Hello I read your proposal and understood your idea. I am a excellent web designer and developer. so I can do it perfectly. if you want, i can show sample for prove my skill. i hope work with you. thanks.

$155 USD dalam 3 hari
(43 Ulasan)
5.8
pkbonly

Hello, I am very much interested on your project.I feel that I am the exact match for your requirements after thoroughly reviewing the job description and desired skills. Thanks

$155 USD dalam 3 hari
(4 Ulasan)
2.1
kunu07

A proposal has not yet been provided

$55 USD dalam 3 hari
(0 Ulasan)
0.0