Suljettu

Create a simple form for a website

Our website [url removed, login to view] needs to have a new form built.

Leading up to Christmas, we are giving out a lot of marketing material to the public and we are giving out a lot of Promo Codes. The purpose is to have people come to our website, provide us their first name and the email address, so that they can check the value of their promo codes.

Each promo code is worth a different amount of money which can be used when making a purchase. The promo codes are as follows:

awesome gift = $5

happy gifting = $10

great gift idea = $15

unique gift = $20

best gift = $50

So what we need is a basic form that take the customers name and email address and then shows them the value of their promo code after they enter it. So the form should have three fields:

1) First Name

2) Email Address

3) Promo Code

Once they enter these three fields and clicked submit, they should go to a page that tells them the value of the code. For example:

"Promo Code = $10"

Only the text would be in red.

All the information on the form should also be emailed to our email account.

PLEASE NOTE:

We only require the form to be created on its own. We do not need it to be built into the site. Once we have the script for the form, we will have our webdevelopers place the form on the site.

If you can have the form look as close to possible to the attached image, that would be great.

We do not mind which langauge the form is in... as long as it works.

The two images attached show exactly what the form should look like and how it should work. Please let me know if you require any more information.

Taidot: AJAX, Java, JavaFX, Javascript, verkkosivujen suunnittelu

Näytä lisää: website look like, value website, site new website making, show create site, promo work, javascript best codes, create website javascript, create name images, codes promo, code create website, christmas email customers, three form, webdevelopers, us form, simple account, public works, promo code, idea form, code create, create unique images, java simple example, awesome website simple, create text, form image, website unique idea

About the Employer:
( 4 reviews ) Sydney, Australia

Projektin tunnus: #513648

50 freelanceria on tarjonnut keskimäärin 35 $ tähän työhön

AtlanticSoft

Hi please check pmb for details

30 $ USD 0 päivässä
(109 arvostelua)
7.7
VALUEONWEB

I am very exited to design this for for you

30 $ USD 0 päivässä
(100 arvostelua)
7.6
gato

Please check portfolio in pm

30 $ USD 1 päivässä
(38 arvostelua)
7.4
timid

lets start..

30 $ USD 0 päivässä
(158 arvostelua)
7.1
websoftinfo

lets start it . Regards meena

30 $ USD 0 päivässä
(33 arvostelua)
6.6
SoftSandila

Only 15-30 Mins . lets start. thank you imran

30 $ USD 0 päivässä
(53 arvostelua)
6.1
webmindsindia

You'll have no problems in selecting a winner.

30 $ USD 1 päivässä
(5 arvostelua)
5.7
mantislin

Hi sir, let me do it NOW! Thanks, Kimi.

30 $ USD 1 päivässä
(63 arvostelua)
5.6
gyanart

Dear Sir, Please see PMB

30 $ USD 1 päivässä
(44 arvostelua)
5.1
erwindraft

hi, should be easy and fast, ready to help you.

30 $ USD 0 päivässä
(32 arvostelua)
4.8
rapuk

Hello, Mike. If you wait a bit I'll show you a demo.

30 $ USD 0 päivässä
(22 arvostelua)
4.8
sakshi2004

Hello Sir, I can do this in next 2 hours. Please check PM for details. Thanks Sakshi

30 $ USD 0 päivässä
(9 arvostelua)
4.8
ciprianz

Hi, Ready to start, all requirements of the form + design as in images provided will be provided.

30 $ USD 1 päivässä
(14 arvostelua)
4.5
digitalwebmaster

Please check PMB all the details.

30 $ USD 1 päivässä
(13 arvostelua)
4.6
leprakhauns

See PM for details.

30 $ USD 1 päivässä
(14 arvostelua)
4.1
atigas

Hi, I can solve your problem, but at first, I need more information about this project. Please check PMB. Thank you!

30 $ USD 1 päivässä
(4 arvostelua)
4.1
surisam

Hi, Please check PMS

30 $ USD 1 päivässä
(3 arvostelua)
3.8
worldofharry

I am ready for this. Please see PMB

30 $ USD 1 päivässä
(11 arvostelua)
3.7
fogtower

Please check PM for detail.

30 $ USD 0 päivässä
(10 arvostelua)
3.7
garvs

Please read PM from me.

30 $ USD 1 päivässä
(8 arvostelua)
3.6