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Build an online form for website use

Need a form built that incorporates the form we already have (see attachment) but also includes the following additional fields:

Information about the bike you are interested in:

Year of Bike:

Make of Bike:

Model of Bike:

Cash Available for down payment (if any):

Payment Type you would like to use: (drop down menu): cash, check, credit card, other

Previous Employers (need 2 years of history): Would like to see at least 3 Employer spaces , currently there is only room to list one Employer

Also under the address portion of the application we need to add in at least 2 more additional address options, if you have lived in your current residence less than 2 years.

Taidot: graafinen suunnittelu, HTML, Javascript, PHP, verkkosivujen suunnittelu

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Tietoa työnantajasta:
( 0 arvostelua ) Denver, United States

Projektin tunnus: #19341183

Myönnetty käyttäjälle:

root26

READY TO START YOUR WORK NOW!!! Hello there, we have studied your post and understood your requirement that u want us to build the online application form ROOT26 LLC is based in MICHIGAN. We are having a super d Lisää

$81 USD 0 päivässä
(5 Arvostelua)
3.5

36 freelanceria on tarjonnut keskimäärin %project_bid_stats_avg_sub_26% %project_currencyDetails_sign_sub_27% tähän työhön

BVMSolution

Hello, Hope you are doing well. After carefully reviewing the requirements of the job description, I feel that we are very much suitable for the job. We can start working now . please give a chance to work f Lisää

$246 USD 3 päivässä
(343 arvostelua)
8.4
Ahmed0666

Hello, I've seen the Form details in word file, I've strong command to design and build the website like these, Let me know that do you want it to built it on custom PHP or you'll prefer any CMS like Wordpress etc I Lisää

$155 USD 7 päivässä
(318 arvostelua)
7.5
ZhenExpert

Hello, I understand scope of your work. I am a full-stack, PHP developer having 7 years of experience. I can assure that we are on the same page from the word go as I have worked on projects similar to yours in the Lisää

$100 USD 1 päivässä
(53 arvostelua)
6.9
artistixeit

""Hello Sir, Please take a look at my skills and experience according to your requirements: -7 years plus experience: PHP+MySQL, C#+MSSQL; Open Cart, Laravel - Great experience with NOSQL DB: MongoDB and Couc Lisää

$111 USD 3 päivässä
(19 arvostelua)
6.6
bestcoder2018

Hello. How are you? I have just read your post and interested in this job. I am a professional full-time developer that have strong skills in back-end and front-end , wordpress export. I will provide you the sat Lisää

$155 USD 3 päivässä
(16 arvostelua)
6.6
sotnikovuri

@@@ NO problem please visit [login to view URL] in my profile i have deep experience of web dev with high quality pixel-perfect design If you reply for me I'll be my best for you Thanks

$155 USD 3 päivässä
(22 arvostelua)
6.2
archnasahi

Hi there, I am expert in website development coding and can help you with Form in website Lets discuss in detail My work Recent work done- Hotel investment-reservation-[login to view URL] El Lisää

$200 USD 4 päivässä
(99 arvostelua)
6.4
imphasys

My years of experience in building a complete website, web and mobile app solutions for both large and small business have given us a unique insight in creating the right website for your business or company. I have r Lisää

$155 USD 3 päivässä
(68 arvostelua)
6.3
KGeorgy

Hello, I am pleasure with your job for Build an online form for website use. Thank you for the job posting. It’s a pleasure to meet you. I’d really like to work with you on this one if possible! I do have a couple Lisää

$155 USD 3 päivässä
(45 arvostelua)
6.1
baniksubir1

Dear Hiring Manager, Today your job posting (Build an online form for website use) has caught my attention, and I wish to have a conversation about the project http://subirbanik.com- You can check my a few past pro Lisää

$155 USD 3 päivässä
(105 arvostelua)
6.3
gauravgargcs

hello, i have 6+ years of experience in website design and i can do any type of functionality work in wordpress and javascript please come on chat so we can discuss your work thanks..

$166 USD 3 päivässä
(57 arvostelua)
6.1
quickleadsindia

Dear Sir/ Ma'am Greetings of the day from Quleiss Technologies Pvt. Ltd. ✅ We provide value to our customers by benefits such as flexible solutions, experienced professionals, safe outsourcing services and top qu Lisää

$50 USD 2 päivässä
(68 arvostelua)
5.9
vedaantTech

Hello there, I have reviewed your job description as well and very confident to handle this project perfectly. I am expert in Web designing/developing.I believe that I can be the best productive candidate for this requ Lisää

$150 USD 3 päivässä
(32 arvostelua)
5.8
braineax

Hi, I’ve done several Website projects in my 8 years of experience. Your website will be Responsive, Easy to Navigate, Speedy and SEO friendly. How many pages, sections, and functions you need on this website? Please Lisää

$200 USD 3 päivässä
(26 arvostelua)
5.7
AbroadFreelancer

Greetings, I have read your project description and I understand the scope of work. I'll be happy to create a form to get info from the users using all your required fields. as per your description. You can pay at t Lisää

$50 USD 3 päivässä
(50 arvostelua)
5.5
bubblesolutions

Hi there i read your request to build online form website. I am here to help you make it. Feel free to replay we can discuss further. Regards:[login to view URL] ------------------------------------------------------------- Lisää

$100 USD 3 päivässä
(48 arvostelua)
5.7
saytechworld

Hi there! GSet below things for your project: -Great communication - 5+ year experienced resources -Quality product delivery with de Lisää

$250 USD 7 päivässä
(48 arvostelua)
5.5
CreativeExpertIT

Hello Sir/Mam, Thanks for inviting us to your.!! We have a fully dedicated and enthusiastic team & we will serve you best as Technology-Partner. We would approach your project by starting with wire-frames and Lisää

$110 USD 3 päivässä
(48 arvostelua)
4.8
workandlive123

Hello, After reading this job description, I am convinced that I would be a perfect fit for this role. That is because of - I am a PHP expert who has 12 years of experience with laravel, codeignitor, wordpress/MyS Lisää

$30 USD 3 päivässä
(42 arvostelua)
4.9
grantlarocca

Hello, My name is Grant La Rocca and I work in a team of highly skilled website designers and developers who specialize in UI and UX design to create a flawless website that your customers will love. We use Word pres Lisää

$122 USD 3 päivässä
(13 arvostelua)
4.5