Form Capture with Login Dashboard

We want to develop an online form hosted in Cpanel Linux in our servers. Maybe using PHP and MYSQL.


1) Basic CONTACT information FROM USER

2) Services collected

- Ability to REPEAT and ADD services (duplicated same fields into more submissions)

3) Agreement execution with image upload field and scroll box with terms and conditions

4) The ability for Visitor to login with e-mail and password, to track submissions and make edits

5) The ability for ADMIN to e-mail user/visitor pre-filled form to finish remaining and sign

Taidot: PHP, MySQL, HTML, verkkosivujen suunnittelu, tietojärjestelmäarkkitehtuuri

Näytä lisää: contact form capture, form capture, simple form capture details, html form capture entries field php, form capture post, form capture name address database, form capture name address database html, autorizenet form capture buyer data, php form capture hinzuf, form capture email addresses, simple form capture mail address, create form capture email, simple php form capture, form capture php mysql email, form capture data php, form capture affiliates

Tietoa työnantajasta:
( 0 arvostelua ) Fort Lauderdale, United States

Projektin tunnus: #20378279

Myönnetty käyttäjälle:


Hello ok, we can make in PHP and MySQL I check your attached files though have some questions. I know you need a form where you need customer panel and backend panel to control and tracks things check our review we alw Lisää

$600 USD 12 päivässä
(302 Arvostelua)

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


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$550 USD 7 päivässä
(43 arvostelua)

Hello, Greetings of the day! Could you please share the task list and specs of this project so that I can analyze them and can share my understanding over it, On that basis, I would be able to share estimate. I'm int Lisää

$1000 USD 20 päivässä
(216 arvostelua)

I have read your job description and completely understood. I have ready front and admin structure iSyncEvolution LLP - IT consulting & enterprise software solution Company 12 Yrs. Exp. in Web Development , Web Des Lisää

$1000 USD 30 päivässä
(62 arvostelua)

Hi, It would be my honor to be an asset to provide you best capture influencer form.I have checked the all feilds from excel file and can do form easily. Experience - : # 7 years of working exp. # Profieciency in : Lisää

$500 USD 7 päivässä
(125 arvostelua)

Hello, First of all, its my pleasure to bid on your project, I have gone through your requirements. We are a highly skilled team to provide you the best experience. We are ready to work on it as soon as you will award Lisää

$1000 USD 20 päivässä
(83 arvostelua)

Hi there, I am a Serious website developer, and I have 6 years experience in developing website using HTML, CSS and PHP and several frameworks such as Wordpress, Laravel, Codigniter, django and so on. I read your job Lisää

$550 USD 7 päivässä
(43 arvostelua)

I am ready to design and build responsive Form Capture with Login Dashboard in PHP/Mysql according to your requirement. I guarantee you best performance, on time project delivery, faster communication and quick respons Lisää

$450 USD 10 päivässä
(113 arvostelua)

Hi there, Greetings from TechPlus! I've reviewed requirements & ready to develop Form Capture with Login Dashboard as per give 5 points. 5+ Years Expertise in : CMS (Wordpress, Magento, Shopify, OpenCart, Joomla, D Lisää

$400 USD 7 päivässä
(109 arvostelua)

How are you? I have checked the project proposal carefully and bid here. I have good skills in social login. I have expertise in php and laravel and developed many websites also. I am free now and so I can start work i Lisää

$550 USD 7 päivässä
(36 arvostelua)

Hello. How are you? I have read your post requirement. I am a highly skilled web development expert . I am a professional who has more than +7 years development experience since university. My main skills: ★ Php, Lisää

$550 USD 7 päivässä
(31 arvostelua)

I can offer innovative and creative idea&proposal for you. I have 5/3/2+ years experience with Wordpress/Woocommerce. You want me to provide qualified solution and solve problem like.. ⭐ Wordpress Website Built ⭐ Word Lisää

$550 USD 7 päivässä
(62 arvostelua)

Hi I see that you already have the design for the form, that will help a lot as a base design wise for the other pages, I can create the functionality you want with just PHP and Mysql here you can see some of my most r Lisää

$500 USD 10 päivässä
(44 arvostelua)

Hello Sir, I have read your job description regarding Form Capture with Login Dashboard I have 6+ year of experience in this field. I have strong expertise to accomplish this project in decided time frame. Lets dis Lisää

$550 USD 3 päivässä
(137 arvostelua)

Hello Just to introduce my self,I have more than 5+ years of experience in design & development. And as a policy we will provide 3 month maintenance "free of cost" for the project done by us. Now coming on this proj Lisää

$399 USD 7 päivässä
(84 arvostelua)

Hi there, I am Ammar Khaliq CEO of Technology beach, Professional and expert Website, Applications, Softwares Designer and developer. I have read your project description and I am ready to take your project. I will des Lisää

$380 USD 10 päivässä
(32 arvostelua)

Hello! I am a web developer. I have checked your project description. If you hire me, I am gonna do my best for our project. I guarantee the good result. I will wait for your reply. Thank you.

$550 USD 7 päivässä
(23 arvostelua)

Hi there, I completely understood your requirement and can help you to get this job done, I got an huge experience on PHP will deliver a secure and easy to use system, Let me know if its a good time for you to discuss?

$333 USD 5 päivässä
(98 arvostelua)

Hi ! I'm really experienced in this kind of project and available right now and full time, it should be doable in a couple hours. Feel free to contact me to discuss it !

$300 USD 2 päivässä
(30 arvostelua)

Hi Dear I read your requirements carefully. I have rich experience with Website development. I have developed Website and Web application projects for 7+ years. I also provide neat Website design. My skills are PHP, Lisää

$550 USD 4 päivässä
(24 arvostelua)

Hi, This is an energetic software developer. I have top skills in Web & Mobile app development. While reading your job description, I understood your main goal. As I am strong at this kind of project, I am pretty sure Lisää

$1000 USD 30 päivässä
(5 arvostelua)