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Website Forms

I have a need to have 4 forms programmed for use separately or any combination for numerous sites on same server.

Program will:

Each form is to have single black border with background color of Pale Yellow (#FFFFCC).

Here are fields:

Form Name: CONTACT INFO

*First Name: [ ] *Last Name: [ ]

*Email Address: [ ]

PrimaryPhone:* [ ] OtherPhone: [ ]

Address: [ ]

*City: [ ] *State: [ ] Zip: [ ]

County: [ ] Country: [ ]

-----------------------------------------------------------------------------------------

Form Name: BUYERS / SELLERS

*1. [ ] Buying [ ] Selling [ ] Buying and Selling [ ] Neither

*2. Buying in: [ ] 1 mo [ ] 2 mo [ ] 3 mo [ ] 4-6 mo [ ] 6-12 mo [ ] 12+mo

*3. Selling in: [ ] 1 mo [ ] 2 mo [ ] 3 mo [ ] 4-6 mo [ ] 6-12 mo [ ] 12+mo

*4. Do you have an agent already? [ ] yes [ ] No [ ] Prefer Beryl Gosney

[ ] Representing myself [ ] Dont need agent

*5. Are you pre-approved for a loan? [ ] Yes [ ] No

*6. If paragraph 5 is Yes, for what amount? [ ]

7. What date do you want to start home seaching? [ ]

8. When do you want to list your property for sale? [ ]

*9. What approx date do you want to start touring homes? [ ]

*10. What cities do you want to live in? [ ]

------------------------------------------------------------------------------------------

Form Name: PROPERTY DESCRIPTION

*Describe Property you intend to [ ] Buy [ ] Sell

*If Selling, expect listing price of: [$ ]

*Property Address: [ ]

*City: [ ] State: [ ] Zip: [ ]

*Style: [ ] SFR [ ] Condo [ ] Townhome [ ] Mfgr in Park

[ ] Mfgr on Deeded Land [ ] Farm & Ranch [ ] Multi-Family

Year Built: [ ] Upgrades: [ ]

*Property Condition: [ ] Poor [ ] Fair [ ] Good [ ] Excellent

*Known Defects: [ ]

*Living Space: [ ] SF Lot Size: [ ] SF

*1st Floor Ceiling Height: [ ] FT

*Basement: [ ] Yes [ ] No If Yes, SF Unfinished [ ]

Ceiling Height: [ ] FT

*Garage: [ ] attached [ ] detached [ ] 1-car [ ] 2-car [ ] 3-car [ ] 4+car

*Stories: [ ] 1 [ ] 1.5 [ ] 2 [ ] 3 [ ] Split [ ] Tri-Level

*View Type: [ ] Sound [ ] Bay [ ] River [ ] City [ ] Creek

[ ] Mountain [ ] Territorial [ ] Other

-------------------------------------------------------------------------------------------

Form Name: CREDIT HISTORY

*Avg Credit Scores [ ] 500 or less [ ] 501-600 [ ] 601-700

[ ] 701-750 [ ] 751+

*1st Mortgage Balance: [$ ] 2nd Mortgage Balance: [$ ]

[ ] No Mortgage

*Number of Missed Mortgage Payments: [ ] 30-Day Past Due Mtg

Payments Past Year

*Notice of Trustee Sale? [ ] Yes [ ] No

*If Yes, Date of Trustee Sale: [ ]

*Bankruptcy: [ ] Yes [ ] No If Yes, discharge when? [ ]

_____________________________________________________________________

Forms are to be in a table

1. Create data fields in HTML for each form and assign them to My SQL

2. Required entries have asterick before the field name.

3. As data is input by site visitor, provide error coding for required entries, and be sure email and phone numbers entered incorrectly. Do not accept phone 555-1212 - reject with error code

No field is to start with a special character

4. When Data is entered, it is stored in database by date and time for that form and and copy of the input is emailed to (my email address I will provide) showing both the field name and the data entered ---

such as.......

CONTACT INFO:

First Name: Beryl

Cell Phone: 425-344-2222

etc etc etc

5. Send an autoresponder message to site visitor who input data....Make it so I can change message (250 charcaters)

Kemahiran:

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Tentang Majikan:
( 18 ulasan ) everett, United States

ID Projek: #350795

Dianugerahkan kepada:

nyH4

Hi. I can do it.

$80 USD dalam 2 hari
(6 Ulasan)
1.8

7 pekerja bebas membida secara purata $134 untuk pekerjaan ini

NickolaS

Hi, please, check your PM

$100 USD dalam 0 hari
(419 Ulasan)
5.3
freeworks

Please check my PM

$100 USD dalam sehari
(314 Ulasan)
4.9
viya89809

Check PM....

$200 USD dalam 0 hari
(132 Ulasan)
4.8
eemon

Hi, lets start the job. Escrow needed. Thanks

$130 USD dalam 2 hari
(597 Ulasan)
0.0
YashpalSingh123

Hi, Expert Computer engineer, Can Start with Immediately effect. Thanx

$200 USD dalam 2 hari
(27 Ulasan)
0.0
NationalIT2000

sir, please visit my pm.

$100 USD dalam sehari
(11 Ulasan)
0.0
tanbalak

I can do it , Please check PMB , Thanks

$110 USD dalam 3 hari
(3 Ulasan)
0.0