Archive

Archive for the ‘Form’ Category

Survey Form Css/html

February 23rd, 2012 Comments off

Hi i need you to create my survey form with fields and checker boxed i need validations.

I have the questions and fields ready just need someone very good in it.

Need this done by today

Email Form

February 22nd, 2012 Comments off

We have a small form with four text fields. It is in an html page and we need it to work.

We only have access to the page but not the database. The form must work without a database.

I need this done in the next few hours.

Php Form – Api Call – Output + User Query Limit

February 21st, 2012 Comments off

I’m the member of a site that offers an API to generate articles! I know my way around html and css but php is way over my head. In comes you!

The documentation is really clear but I have no way to script/turn it into something useful. He lists all the variables and even a sample script on his site so I’m sure you can make this work. What I’d like in functionality from the script are the following things:

- Every variable has it’s own input field based on the type of input required (on a w…

Custom Sidebar Form WordPress

February 21st, 2012 Comments off

I need a custom sidebar form built for my website. The form must LOOK exactly like the sample mockup (ATTACHED FILE).

You should only edit two files, 1) the sidebar.php file, and 2) a new contactform.php file that you will create.

On the sidebar.php the only code I want added is the php code to embed the contactform.php page.

On the contactform.php file I would like the option of choosing the email address that the form should be sent to, as well the option to add a BCC.

I would …

Form Reading System

February 21st, 2012 Comments off

I need a joomla 1.5 and 2.5 module that can be used to read form fields out of scanned image of form. This will only need to read numbers and fill in boxes. No optical character recognition to read hand writing will be required. users will be given a hard copy of form which they will scan in scanner, or with cell phone camera and send to site. The module will need to import import image and read form fields and submit to corresponding database fields.

Booking Form / Price Calculator

February 20th, 2012 Comments off

We need a simple price calculator for an airport parking company.

The calculation is simple in that it always starts with the same base price eg.

Autoresponder From Address In Form

February 19th, 2012 Comments off

My existing autoresponder is sending responses to me, instead of my clients when they fill out a form online which uses sendmail or formmail

I have an online form which I want to modify so it sends a standard auto-response to the person who actually fills in the form.
It would have to recognize the email address inserted in the form by the client and send an autorsponder directly to him/her.

Right not, when I try, the ISP basic auto-responder they have just sends the auto-responder to me…

Search Form

February 19th, 2012 Comments off

Search Form Needed:

Search drop down will be like the search field here: http://www.windermere.com/

search field at very top of page.
on single click the form drops down

The following fields will be in the search engine… see link below

http://aquamls.com/blueridgerealtyga/ on this page you will see the actual fields that will be required for the new search engine parameters.

attached is the new project images –

From here,
http://aquamls.com/blueridgerealtyga/ you ca…

Form Creation

February 19th, 2012 Comments off

Looking for very simple form creation of 4 fields, the results of the form should be downloadable in an excel format…I am working on a larger project and always looking for help on this particular project.

Thanks for bidding

Email Domains Being Rejected On Form

February 19th, 2012 Comments off

When I used kirwoodincATbellnet.ca on the form at https://www.canlaw.com/secure/sslreferrals/cities/corner_brook.htm
it was rejected as an invalid domain.

I need this changed so that two letter domains are acceptable by the form.

The same thing is happening at the form at https://www.canlaw.com/secure/forms/orderformdl.htm

Who knows how many orders I have lost because of this?

You will have to view source on the two forms, figure out where the problem lies and let me know what fil…

Two Forms On Existing Website.

February 19th, 2012 Comments off

Project info:
Client wants the forms to function right on the page, not to link to a different page.

The “Free Consultation” Form: should go in the blue sidebar. It’s a little narrow, but see if you can fit it in. It can be the uppermost item in the sidebar.

The “Contact Us Today” form can go in the main content area of the Contact page. Right under the company address would be fine.

This is the info to the contact box on the front page

Free Consultation
A specialist will ca…

Need To Have My Form Submit To Two Locations At Once

February 18th, 2012 Comments off

Hello,

I need a good programmer to take the two-page form I have on unemployment-extension.org/index.php also submit to my vendor on unemployment-extension.org/debt-assistance.asp.

The extra fields on the debt-assistance.asp page (5 creditor box fields) will be placed on the second page of filing of unemployment-extension.org/index.php.

My regular programmer went MIA yesterday when he was half finished yesterday. I need this done TODAY or ASAP please!

Serious bidders only, this is…

Categories: ASP, Curl, Form, HTML, PHP, Programming, Urgent Tags: , , , , , ,

Modify Javascript Order Form

February 17th, 2012 Comments off

READ this carefully

http://www.srjdomain.com/kba.php
download the form – NO FTP ACCESS PROVIDED

ONLY bid if you will complete in TWO HOURS – that is TWO HOURS FROM WHEN YOU ARE SELECTED
After you bid STAY ONLINE so you can accept the project immediately

Edit the form and the javascript to:

Underwriting Levels – user can select one of the five options as it is now
the total will be stored in a new line in the Payment Informaiton area called “Total for Underwriting Level”

I…

Form Fields On Wp 1api Hookup

February 17th, 2012 Comments off

The following are the possible fields:

Residential:
First Name
Last Name
Billing Address
City
State
Country
Zip Code
Shipping Address (same fields as above)
Phone
Mobile
Email
Fax
TimeZone
Country of Taxation
Default Currency
using authorize.net api (I have the info).

Commercial:
First Name
Last Name
Business Name
Billing Address
City
State
Country
Zip Code
Shipping Address (same fields as above)
Business Address (same fields …

Create Working Form On Page

February 17th, 2012 Comments off

Http://www.threeeasystepstowealth.com/getstarted1.html

On Step Seven, I need that text in bold made into a
form on the page, when submitted it goes to thank you
and then comes back to this page.

Email is sent to me with the form contents and
copied to another email.

Need this done right now please.

Escrow in SL only… funds released upon successful
completion.

Brian O

Online Health Insurance Form Filling

February 17th, 2012 Comments off

Online health insurance form filling part time work .rate per form is 1us$ good accuracy and typing required
too see the demo
http://www.youtube.com/watch?v=_28hMkbqqdQ

Convert Lasso To Php – Web Form / Loan Application

February 17th, 2012 Comments off

I currently use Lasso (Lassosoft) but have decided to move to PHP and need to have someone convert my contact form & my loan application to PHP.
There is a few more conversion needed changed but they are as follows:
My loan application has account and the user can log back in a day later and continue where they left off. I can go over how in details on phone or AIM or email if interested. I would like to do this ASAP.

Form Creation In Flash Template

February 16th, 2012 Comments off

I have a flash template:
http://www.templatemonster.com/flash-templates/36109.html

i am doing most the configuration BUT I need a flash developer to create 1 flash form on one of the pages for me and have the results emailed out with a php script….

I will send you my flash file and you can make the needed form and return it to me…

the form will have fields for name, email, phone number, 3 drop downs and a date and time picker…

Registration Form Changes

February 16th, 2012 Comments off

Hello, i own an auction website and i have 3 changes i would like to have made to the registration page. 1) i would like to have “United States” as the default country. 2) i would like to completely delete/remove the portion of the form asking for the telephone number.3)the confirmation “check marks” on the page are orange or reddish, they need to be green. this is pretty important. green means good or go…orange or red means error or stop. the site is www.sports-trader.net. please go to the re…

Form Filling Data Entry

February 16th, 2012 Comments off

Hi,
I have thousands of scanned documents which i in turn need to fill the information in them to a huge database.

1. I need only Fresh and New Contractors
2. Contractors must have home PC with minimum 128kbps internet line.
3. Typing Speed Minimum (25-30)WPM
4. Simple Job But Need Concentrate and Hardworking.
5. Minimum Able to work 3-5 hours a day (Only Business day)
6. You must Able to Complete my project within 10 business days.

Thanks

Contact Form Changes On Joomla Self-made Component

February 16th, 2012 Comments off

Hello,
I need some implementation on contact form on self made joomla component with integration of a thank you page.
I can give all the detail by pm. There is the possibility to have to solve some other iusses by quoting in future

Script To Receive Fdf Data From Pdf Form Via Server By Email

February 16th, 2012 Comments off

I need help sending FDF data from a pdf form to a CGI script to me by email via my server. ( more specific info below. )

I have a PDF form with form fields. I would like for someone to help me set up the submit button on the form to send the FDF data to my server and then to me by e-mail ( I am not sure of the exact URL requirement).

Here is the process I would like to take place.

1.) pdf form on web site with fields and a submit button. ( this part is done. but will need help putting…

Html Signup Form

February 14th, 2012 Comments off

I’m looking for a simple email form to be added to html code I will generate from a sliced Photoshop page. It will have name, email and a submit button that will email an address I send or update in the code.

It’s for a landing page similar to this – http://artisankitchen.com

I’d like to keep it as simple, low tech and plug and play as possible. Something I can just paste into a single html page if possible.

Need Page And Form Created

February 13th, 2012 Comments off

Php And Html

February 13th, 2012 Comments off

Need an EXPERIENCED PHP and HTML programmer to complete a few simple tasks in creating tables, buttons, forms where the user can input data and get results. Also some maths is required in this programming

!!!!! – READ THE ATTACHED FILE BEFORE YOU BID – !!!!!

Implement Forms On Blogger

February 11th, 2012 Comments off

I need to implement user contact forms on my blogger hosted blog. Currently, the forms are implemented using a 3rd party tool. I want to make the forms independently functional.

Please go through all the forms on http://www.moneyplanters.com/

The same forms are to be replicated.
Each form entry should deliver an email to me and will have a custom message to be sent to the user on submission of the form.

If this is doable then I might also wish to implement conditional fields in the fo…

Need Online Form Created

February 10th, 2012 Comments off

I need a fillable online form created that looks like the attached file. The submitted form will be automatically emailed to the email addresses of my choice.

Online From Filling Data Entry

February 10th, 2012 Comments off

Assist In Filling Online Forms
I Am Looking For Self Motivated Individuals With Experience And Skills In Web,SEO Content For a Very Easy Task Of Filling Online Forms.

(A). Visit The URLs
(B). Register With The URLs
(C). User Longing

I Will Give You a Step By Step Guide to Follow.
You Can Copy/Paste Text, I Will Select The Candidates With The Lowest Bid.
Skills :. Typing, word, PDF, Data Entry, English

Need Subpage And Form Created

February 9th, 2012 Comments off

Page is officeproscleaning.com

Need just a link on bottom of page to show “current openings”

New page will be a continuation of the existing page layout with a form:
I need a new subpage created with a form on it for people to use to apply for a job with my company.
This page will need a link to it added to the front page – Doesn’t have to be anything special just link added to the bottom of the page will be fine.
parts below is [...] are just for you and not to show on the page.

I l…

Opt-in Form

February 9th, 2012 Comments off

I need an email opt-in form designed to promote my ebook.

I will provide text (and would love suggestions) and colors to use.

I already have an email capture plug-in, I only require the design of the opt-in.

Prevent Double Post Of Form And Script Information

February 9th, 2012 Comments off

Hi,

I have a website on which is a page where a user can fill out a form and register for a workshop. This page leads to a thank you / Payment page. Attached to the Registration and thank you page is a script that links to a Partner Program so I can pay others you refer us a client a bonus.
Now I have the problem that if a user fills the form, presses enter and gets to the Thank You page and reloads this page I get two referralsales which I have to cancel out manually. Once I had for partne…

Survey Form With Back End

February 8th, 2012 Comments off

Hi,

I am looking to develop a simple a web base survey form online for my customers.

We should be able to log in to the back end and view consolidated survey data.

We need someone who has a demo of such a product, we will only consider someone who did such a project with back end log in to view.

Please post your links WITH back end log in for us to review.

Thank you.

Tables (3) With Forms Maintenance On Php & Mysql

February 7th, 2012 Comments off

Project considers to create 3 new tables with the referenced forms for ADD, SEARCH, MANAGE (see) and UPDATED records in the referenced tables.

Service required:
- Created functionality as per the PDF document attached.
- Support on Testing and upload to my server.
- Post-Implementation support.

Please find attached the functional specifications for the tables.

Rgds
Jorge

Need An Order Form Fix Which Is Not Fetching Data Correctly

February 7th, 2012 Comments off

I have a client with an order form that is not pulling all data submitted onto an email before sending.

You can see form here: https://www.good4all.net/g4aorder.html

The form is sending, but without product data ordered.

Need fixed asap.

Please only communicate through ScriptLance.

Thank you,

Dennis

Categories: Data, Fix, Form Tags: , , , , , ,

Web Form

February 7th, 2012 Comments off

I need a form that I want to use on a number of different html pages.

The form will have three mandatory text fields and one (optional) numeric field:

The text fields will be:
email1 (the form has to verify that the email entered is a valid email)
email2 (let’s them type the email again, to verify that they entered the correct email)
Message (limit of say 250 Characters)

The numeric field will be for a dollar amount, but it is optional for the user.

Once the user submit the form, …

Categories: Form, PHP Tags: , , , , ,

Php Contact Form / Html Edits

February 7th, 2012 Comments off

Need custom php contact form created for html website. Also need html edit to website.

Exact contact form mockup images created as reference. Please only PHP experts that can create custom php contact form and edit html code from scratch.

This should take less then a few hours to complete for PHP expert. Site is on PHP hosting (hostmonster) with php contact form application ready to use. Please see attached form mockup image attached.

Postcode On Address Form

February 7th, 2012 Comments off

I would like to add a postcode service to this page http://www.fsltd.co.uk/gateway/billingInfo
We have done most of the coding (but that file isnt live) but just needs finishing.
One of the things that needs doing is to add an extra space in our existing page (its allowing 7 but needs to allow 8 chars)

The postcode service we will use is http://www.postcodesoftware.net/try.htm

Any questions – shoot…

Wp Aweber Opt In Form Issue

February 7th, 2012 Comments off

Plz fix my aweber opt in page in wordpress

i am using optimize press theme

http://www.experienceawesome.com/instant-page-squeeze-10-2012-02-06-093429/

WordPress Optin Sidebar Form

February 6th, 2012 Comments off

Need an iContact Opt-in form created for a WordPress sidebar. Need it to be attention grabbing and for it to match the look and feel of my current site. I’m looking for something similar to the opt-in form on this site: http://www.workingmomsonly.com/category/issues/ . I already have the book cover graphic ready.

WordPress Website Needs Editing

February 6th, 2012 Comments off

Edit payment form and free listing link at www.PostMyService.com

Bear