One page editable signup submission form

I need a form created containing different fields and 1 recipient . I need to easily be able to change the recipient of the form. Not PHP form. I would prefer only having to use one form that can I can replicate and edit the recipient in the code from this one page form.


Title: Order Request Form

Text On Top of Form: Please complete this form so that we can setup your new website. You will receive an email shortly so we can get started. We look forward to working with you soon.

Field 1: Full Name

Field 2: Contact Email

Field 3: PayPal Email

Field 4: Domain Name (1st Choice)

Field 5: Domain Name (2nd Choice- in case 1st choice not available)

Field 6: Special Instructions

email subject: New Order Request

I want every thing to be editable and I need to be able to duplicate this form for any of my resellers and replace the recipient email address easily on the one page form.

Need for it to look professional and have the ability to easily change the recipient email address.

I wait your bids.


Kemahiran: HTML, MySQL, Reka Bentuk Laman Web

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Tentang Majikan:
( 7 ulasan ) Cumming, United States

ID Projek: #17978396

Dianugerahkan kepada:


Hello Joel, i'am very good at webfroms and i can create you a script that generate a from and you can edit it when ever you want and change the recipient very easly... If the project is fairly paid I can build you a sm Lagi

$45 USD dalam sehari
(35 Ulasan)

24 pekerja bebas membida secara purata $28 untuk pekerjaan ini


Hello I am a full service provider for corporate or individual interested in designing their design & development needs of web based projects. We are experts in HTML,CSS,Boostrap,Jquery,Javascript,core Php, Magent Lagi

$25 USD dalam sehari
(237 Ulasan)

Note: Yes Milestone will be released when work done. I have great working experience with Designing & developing. I'll give you update after every 2 hours during project. We have worked on many projects and complete Lagi

$35 USD dalam sehari
(199 Ulasan)

Hello there, As per my understanding you need a form created containing different fields and 1 recipient .We have 7+year experience in website design and developments in E-commerce,Woo-commerce, Javascript,PHP, WordP Lagi

$35 USD dalam sehari
(176 Ulasan)

I have experience of Website in PHP, Laravel, CodeIgnitor, Wordpress, Opencart, Woocommerce, Photoshop, Adobe Illustrator . We also have experience of making Android,Window and iphone application with ionic & phonegap. Lagi

$19 USD dalam sehari
(108 Ulasan)

Hello, Hope you will be doing well!! Given my background in Website solutions and talent for creating aesthetically pleasing and highly functional website, I have read your description and I understand your re Lagi

$40 USD dalam sehari
(71 Ulasan)

Hello How are you? I am very interested in your project. I have read your description very carefully. I can do your job in time. I would like to talk with you in detail about your project. Kind Lagi

$25 USD dalam sehari
(30 Ulasan)

Hi there, Greetings from TechPlus! I've reviewed requirements & ready to develop editable form as we have 5+ years experience in web development. Our Expertise: CMS (Wordpress, Magento, Shopify, OpenCart, Joo Lagi

$100 USD dalam 3 hari
(56 Ulasan)

Hello, I have gone through your project description and understand your Form requirement, Please award me I can deliver this within a day. My Recent Work portfolio links : [login to view URL] http://www.10s Lagi

$30 USD dalam sehari
(29 Ulasan)

I have experience creating websites / applications on unity,wordpress, oscommerce, html, html5, opencart, prestashop, ASP.net, PHP, joomla, drupal and many other languages and CMS. - 5+ years experience creating web Lagi

$30 USD dalam sehari
(14 Ulasan)

Hi, I would love to work on your project. Our teams have experienced developers with a powerful track record and real talents for developing the needs of our client. We have developed multiples iOS and Android Lagi

$10 USD dalam sehari
(40 Ulasan)

I have vast experience in HTML, CSS, BOOTSTRAP, Php, Mysql, and jQuery web Development, Wordpress and Google App I can write Javascript & Php script for you. I'll fix your all CSS or HTML errors, or layout problems o Lagi

$18 USD dalam sehari
(27 Ulasan)

Dear Joel, I would like to discuss few thing for better understanding of [login to view URL] share details and ping me for further discussion. Spare a moment on our previous work [login to view URL] http://profeenlinea Lagi

$25 USD dalam sehari
(16 Ulasan)

Hi , We will help you to One page editable signup submission form as per your details. and also we will provide you the unlimited revisions until you do not satisfy. Let's connect

$40 USD dalam sehari
(11 Ulasan)

Hi, Greetings of the day!! Thanks for review my Bid. I have 10+ year experience in PHP and 6+ experience in Wordpress. I have strong knowledge of Wordpress as i have completed many projects in this. Please rev Lagi

$20 USD dalam sehari
(12 Ulasan)

I am a website developer. Offering services to our diverse client across the world. Sign Up Form Landing Page ☛ Registration Form Landing Page ☛ Event Form Landing Page ☛ Product Base Landing Page ☛ App Landing Lagi

$20 USD dalam sehari
(14 Ulasan)

Hopes you are doing great:) Welcome to #1 Graphic Design Company on Freelancer we offer: 1. Multiple Designs 2. Unlimited revisions 3. Great Customer Services 4. 100% Satisfaction results We never compro Lagi

$30 USD dalam sehari
(15 Ulasan)

Dear Hiring Manager, I have seen your requirements carefully and as per my previous experience I can do this project for you. I have extensive experience in PHP,Codigniter,Word Press, MVC,OpenCart,Bootstrapping. Based Lagi

$25 USD dalam sehari
(9 Ulasan)

Hello sir, I am expert developer and designer. I can create this form for you in responsive HTML. I can assure you that if you work with me once, you will always work with me for these kind of projects. Looking forwar Lagi

$10 USD dalam sehari
(10 Ulasan)
$15 USD dalam sehari
(16 Ulasan)

Hi Joel, I am ready to develop a form that containing different fields and 1 recipient as per your given requirement. I am a web developer and very much famuiliar with HTML/CSS, MYSQL, WordPress and PHP. I am ready t Lagi

$25 USD dalam sehari
(3 Ulasan)