Peruttu

Basic Web Site with Ability to Auto Email PDF's to me

I need a basic insurance website built and installed on my server that will:

- Allow for the consumer to pick English or Spanish version

- Have coverage pdf's and application pdf's (fillable)that the consumer can fill in with their information

- After they fill the application out, have a "Submit Now" button that AUTOMATICALLY attaches the filled out PDF form to an email and sends the entire copy to my mail box.

- Basic web site, page 1 would be to choose language, then they would be taken to a screen with either English or Spanish versions of 1) Summary of insurance coverage's 2) Other Forms 3) Rate Sheets 4) Fillable PDF of the actual insurance application.

- Again, after the consumer fills out either language version of the application - they click "Submit Now" and it gets automatically emailed to me as a attached PDF in an email. The actual application that the consumer filled out. Also, in my email it would note the time and IP address that the application was submitted from.

I will provide the English and Spanish version of all the forms and fillable PDF's. Also logo's etc.

I want a user friendly site with design that is good looking and simple to use. Add some pictures or graphics for nice looking site. Money in escrow.

I will need this program installed on my sever for me.

Please give details in your bid on how you will accomplish this.

Taidot: .NET, Adobe Flash, Cold Fusion, Java, verkkosivujen suunnittelu

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About the Employer:
( 21 reviews ) Chico, United States

Projektin tunnus: #454541

48 freelanceria on tarjonnut keskimäärin 538 $ tähän työhön

best1

Kindly check PMB

750 $ USD 14 päivässä
(150 arvostelua)
9.2
WebsiteFast

USA based creative website designer, I can start it tonight, check PM

750 $ USD 5 päivässä
(170 arvostelua)
8.4
USAGraphicPR0

**********************************************************.. YOUR SEARCH ENDS HERE .. ********************************************************************** Hello there! I do not ask for any upfront payment. I just ask Lisää

750 $ USD 10 päivässä
(118 arvostelua)
8.0
Indexpage

Hi, Serious, Experienced, Result oriented, 24X7 reachable development team here with having highly experienced developers. Highly interested in your project and looking for long term basis. Please check your PMB for mo Lisää

750 $ USD 30 päivässä
(41 arvostelua)
7.8
SierraSoft

plz see PMB

700 $ USD 20 päivässä
(90 arvostelua)
7.6
yousefla

Hi, More details in the PM

750 $ USD 7 päivässä
(64 arvostelua)
7.2
inspirad

Hi, Please check PM. Thanks

500 $ USD 5 päivässä
(251 arvostelua)
7.1
ambar

Dear Sir/Madam, It is not just a generic bid, I am proposing a solution. Please kindly have a look at it. Thanks Shome.

500 $ USD 15 päivässä
(58 arvostelua)
7.1
websoftinfo

Hi, we are very [url removed, login to view] have gone through with the requirements you described in your detail. We can easily do it with our [url removed, login to view] will provide you regular updates during progress, if we get this.... And als Lisää

500 $ USD 10 päivässä
(33 arvostelua)
6.8
sritechnocrat

Sri Technocrat is marvelous in its quality. We have been maintaining the quality in every field whether it is services or training. We have proved our stability. We have been working with the same grace & quality. Our Lisää

300 $ USD 10 päivässä
(38 arvostelua)
6.7
HeoQue

kindly check PM

400 $ USD 7 päivässä
(52 arvostelua)
6.7
srinichal

Can do the website as specified

250 $ USD 10 päivässä
(65 arvostelua)
6.6
Ajz

Hi, I want to do this for you. Ajz

500 $ USD 20 päivässä
(47 arvostelua)
6.6
desarrollos720

Please check my pm!

500 $ USD 15 päivässä
(68 arvostelua)
6.6
softwaredep

Lets start. Thank you.

699 $ USD 20 päivässä
(60 arvostelua)
6.6
jagaro

Please view PM...

300 $ USD 10 päivässä
(86 arvostelua)
6.4
NadaSol

Hello, please check your PMB :)

550 $ USD 9 päivässä
(19 arvostelua)
6.0
vindhyavart

Please check your PMB for more details. Thanks.

450 $ USD 7 päivässä
(36 arvostelua)
5.7
exoticsolutions

Dear Sir, We are willing to work on this project with you. Please feel free to write back if you have any question. Looking forward for your feedback. Best Regards, Bryan Raymond.

650 $ USD 10 päivässä
(17 arvostelua)
5.9
WebDevBoston

See PM for details of this bid.

750 $ USD 10 päivässä
(4 arvostelua)
5.3