Archive

Posts Tagged ‘form and’

Edit Payment Form And Link

February 6th, 2012 Comments off

Experienced and Familiar with Word Press and FTP. Change information on payment form (delete Free payment option) and change the information on the aide banner about payment.

Switch home page.

Display recently booked services with picture must display on all pages.

Add All major, cities, states AND they are searchable when you search for them Similar to website called Thumbtack. You are able to find all businesses under their city and state. City and state must work when I search for a…

Simple Form And Database

November 12th, 2011 Comments off

Hello,

I run a site www.thefanraiser.com I am looking for someone to replicate the wufoo form that I have up right now. Just needs the exact form as well as all of the data to be put into a database that can be imported into various mailing services ex. “Mail Chimp”

Needs this done asap.

Thank you.

Form And Submission Method

April 15th, 2011 Comments off

I need to copy a form (input form) from a website and modify it to submit via sendmail(php) in proper output format (printable)

The form is already made and just needs to be cloned and modified for sendmail.

The form is at http://www.affordabail.net/apply/ that I need copied

Custom Phplist Subscribe Form

March 11th, 2010 Comments off

I need a customized phplist subscribe form. Here is my original form and codes:

http://list.howtoearneasymoney.org//?p=subscribe&id=1

I want you to copy the source code/form and edit it. The code can be placed in any other pages.. Here is the guide on customization.
http://docs.phplist.com/CustomSubscribeForm

This is what I want or similar to this.
http://internetmoneysecrets.net/wp-content/uploads/2008/07/squeeze_page.gif

Or this (form only)
http://alberthallado.com/image-files/free-video-squeeze-page.jpg

I will supply the needed texts, title of form, and other details including texts on submit button.

Reservation Form And Database

March 8th, 2010 Comments off

The project is to create a secure area on my website entered into by an access code. In this area the customer will be able to complete a reservation form. The data will be collected to the spreadsheet or a table, verified, edited if needed and approved. Some fields on the form will be viewable by admin only or locked. The customer will then be able to view the resulting agreement, agree to terms and print it.
Please, review the attached file for more details and proposed template.
Will be hosted on Windows with GoDaddy

Form And Db 2

March 4th, 2010 Comments off

I need a form created that will write to a mysql database. we require:
captcha
validation
email notification
required fields
the form consists of 31 fields. Some are text fields, radio and drop down.

Details will be provided to considered freelancers.

Categories: Programming Tags: , ,

Form And Db

March 3rd, 2010 Comments off

I need a form created that will write to a mysql database. we require:
captcha
validation
email notification
required fields
the form consists of 31 fields. Some are text fields, radio and drop down.

Details will be provided to considered freelancers.

Categories: Programming Tags: , ,

Form And Db

January 31st, 2010 Comments off

I need a form created that will write to a mysql database. we require:
captcha
validation
email notification
required fields
the form consists of 31 fields. Details will be provided to considered freelancers.

Categories: MySQL, PHP Tags: , ,

Joomla Quote Form And Uploads

December 27th, 2009 Comments off

Products already have partial form with product info made. Need to add to that form.

Same form as http://www.contXXXacweb2pXXXrint.com/PrintQuoteForm.aspx
- Remove XXX

Form data goes to email and also on joomla site where it can be checked.

All products need form.

Create a new page for file upload where User Name, Project Name, and Order number are added to file upload with preview of file/image.

Form And Image

November 21st, 2009 Comments off

Hi,

I have a regular form, I want to show an image before I submit my form to a target site, like “loading” or “searching”, it have to be an html image, not flash.

Thanx

Simple Email Form And Download

November 13th, 2009 Comments off

Hi. I need a simple php script that will allow me to collect emails before visitor download a file.

So the visitor comes to a page that contains an email field. When entering email, a download button becomes active or the download start right away.

So the script has to check email for validity, and write this email to a database.

After this, it starts the download.

I want the emails to be displayed on a page on the site.

It’s the same project as last week but the programmer I chose never came back to start the job.

Simple Email Form And Download

November 4th, 2009 Comments off

Hi. I need a simple php script that will allow me to collect emails before visitor download a file.

So the visitor comes to a page that contains an email field. When entering email, a download button becomes active or the download start right away.

So the script has to check email for validity, write this email to a database and send an email to admin with the address in it.

After this, it starts the download

Modify Php Form And Js Slider

November 3rd, 2009 Comments off

Hi,

I have a shopping cart in PHP that I require a very small addition to.
http://playground.nicholasoliver.co.uk/gallery-one/

I need the price of each item to be passed with the data so that a total can be displayed on the checkout page.
The script does NOT use MySQL and stores data in a text file.

In addition to this I have some small CSS/JS work that I require and will be given to the programmer upon completion of this job.

This job is URGENT and I do not want anyone who cannot start and finish the job within the next couple of hours.

Happy bidding.

Form And Menu Clone

October 30th, 2009 Comments off

I need two forms and one menu clone of an existing website www.oxxio.nl

Forms:

“bereken uw voordeel”
“inloggen mijn account”

Menu:
“zelf regelen/service & vragen/storingen”

Each script on a seperate page..

Thanx

Contact Form And Database

September 30th, 2009 Comments off

I am in need of a 3-page “Contact Us” section of site to be created, capturing people’s information via form fields into a DB and then presenting them in an Admin-like page so that the results can be viewed/downloaded by our client.

*****
Page 1: “Contact Us” page offers users to select “yes, contact me via monthly newsletter”. People’s data stored in DB for site admin to download.

Page 2: Thank You Page: What the viewer will see once they’ve completed the entry form page and pressed SUBMIT.

Admin Page 3: Password-protected so only we can see, a page listing the results of each entry. This page is not meant to be fancy, just a means of viewing and downloading info.

Fix 2 Page Form And Post Data

September 6th, 2009 Comments off

Hi,
I need this form http://debt-bailout–usa.com/(currently in wordpress) made to collect two pages of information and post that information to a lead management solution.

Page 1 collects some information, then on to page 2 for some more fields of information. Then on submit from page two the form sends the data to Lead Conduit. If the lead is successful it redirects to a thank you page, if the lead is not successful to a different page.

I already have a successful posting script for a 1 page form for posting into lead conduit as well as the posting API for Lead Conduit. This new form must be 2 pages.

Please direct any questions to the PMB. This must be done ASAP.

If it can be kept in wordpress, that is the preference.

Authorize.net Payment Form And

August 3rd, 2009 Comments off

I need someone to set up one pay button and validation page for my new authorize.net account

Lead Form And Sms Integration

July 31st, 2009 Comments off

We have an auto classifieds site for which we need lead generating form to be integrated with the classified ad pages, landing pages and as widgets to be placed on the blog and on partner sites. 3-4 databases for different types of leads need to be made along with one main database for used car dealers. SMS integrated is needed to disseminate the leads. Will use API to send SMSes and short code to receive SMSes. Some more minor site modification will have to be done to accomodate lead generation.

Only bid if you are PHP/My SQL experts and have done SMS API integration earlier. Bidders with no review/feedback will not be entertained.

Php Registery Form And 2 Pages

June 9th, 2009 Comments off

We want to improve hiring solution existing in my business networking website. You must have good PHP/MySql/Javascript/Css/AJAX experience. You will also design layout of pages which you develop and willimplement existing css styles to page to make look and feel same with otherpart of website.

You will make 3 pages. Your main task almost %80 of your task is creating job posting form. It will have some advanced features like auto-complete text boxes for some-fields.

I can say requirements are not much and project size is small but my expectation is high quality result. Only one form and 2 additional simple pages. I explained all requirements very detailly attached document. I exactly expect same thing as result which described in attached document.

You have to make all data validation related things. After completion of solution, it will be under defect testing process by experienced testers.

In this project daily reporting required. We will guide you for any clarifications you need. So we want to work with only responsive developers. Developer will work on our server not in localhost. So you need internet connection to work on this project.

5$ bonus available if you complete project as expected.

We are working with more than 8 developers all around the and we are searching long term relationships so this project will present you long term relationship opportunity. We have everytime new projects.

Please look details in attached document before bidding.

Form Creator Website

June 9th, 2009 Comments off

I am looking to build a clone of formspring.com, I require similar features, however different website design. The website also has to be integrated with PayPal and Worldpay.

Below a list of the required features:

Form Builder
Easy to use form creator allows you to build any type of form to help your business collect data online. The drag and drop functionality allows you to quickly build your form from within the popular web browsers available today (IE 6&7, Firefox, Safari). You can add any kind of form widget (text fields, select lists, radio buttons, check boxes, etc) to your form, and change settings like sizes and layout. The form creator can be used without having to know any HTML or scripting languages.

Data Collection
Data is at the heart of any online form. FormSpring excels in helping you collect, manage, route, and leverage your form’s data. With FormSpring, you can store data in our online database, share that data with others via a simple link, export your data in Excel or Word, and use our API with other databases or applications. More

Clone Order Form And Site Pics

May 24th, 2009 Comments off

To develop a cloned web site order form / form mail and update images on website. Per our discussion $85

Form And Flash Application

April 28th, 2009 Comments off

“Online Quilt” Form and Flash Application (See uploaded PDF for this same text below, which also includes images.)

Timeframe: project will not start until May 5, project will need to be fully complete by May 18th

Qualifications: Must provide link(s) to Flash application work samples and explain your role in its creation.

Overview (more details will be provided upon job start, or you may ask questions now if you think something needs clarification for bidding purposes):

Part 1 – Form:
Need to create an online form and FTP upload capability where end users can:
- Upload an image from 500kb to 4 MB max size. (form will produce an error message for files larger than 4MB and will not allow upload)
- Enter approximately 5 to 10 fields of information (with captcha and form validation), including an optional link.
- Then have a second page of the form where they confirm their information and then pay with paypal button (button code will be provided).
Form will then add entered data (not including what information goes to paypal) to an excel file in a password-protected folder (including name of the JPEG file uploaded).
Form will generate an email to admin notifying of upload (with a link to the JPEG file for downloading purposes) and will include form data in the email as well as a link to the data excel file for reference. Form will generate a thank you email to end user.

<<<NOT PART OF FORM>>> Admin will size down and crop above uploaded images in a program like Photoshop (outside this system) for use with application below.

Part 2 – Flash Application:
Need to create a Flash application that will allow an admin with FTP access to upload pre-sized and cropped, square jpegs to a folder. Any JPEG files in this folder will end up being a part of an online quilt page for display on an HTML home page (the rest of the site will be built in HTML

Redesign Form And Table

April 27th, 2009 Comments off

Redesign orange form here: http://uptrend.fxfresh.com/
redesign and reposition table(Conduct a Search the form and you’ll see a table)
redesign register form (select a course after searching and click register to see form)

design fresh and professional, that’s it! Do whatever design you want but stick to the sites theme. I only stress that the tables and form must be very good looking. Fast and quick need in 24 hrs.

Adf/xml Mod To Php Sendmail

April 22nd, 2009 Comments off

Hi there, thanks for looking at our project!

We currently have a simple script on our site called contact.php, which handles input from a form and sends an HTML email to an address specified as a hidden field in the form.

We would like to add a new function to this script. This is what we would like:

- At the top of the script, there should be a config area, where a set of email addresses will be located. Each email address should have an array that contains a SECONDARY email address. Once you have created a working example, the correct data for this section will, of course, be set up by me, the admin.

IF the script is run from the form, AND the email address specified is NOT one of the addresses in the config list, then the script should function normally, as it does now.

However, if the script is run from the form, AND the email address IS one of the ones in the config list, then the script should send the email as normal, BUT it should ALSO send a SECOND email.

The second email should be generated by using data that is passed through from these and additional hidden fields in the form. This second email should be sent to the SECONDARY email address, corresponding to the primary email address in the config part of the file.

The script should propagate this data into an email, as follows:

<code>

<adf>
<prospect>
<requestdate>2000-03-30T15:30:20-08:00</requestdate>
<vehicle>
<year>1999</year>
<make>Chevrolet</make>
<model>Blazer</model>
</vehicle>
<customer>
<contact>
<namepart=”full”>John Doe</name>
<phone>393-999-3922</phone>
<email>[customeremail]</email>
<comment>Keyless entry essential</comment>
</contact>
</customer>
<vendor>
<vendorname>Dealer A</vendorname>

Signup Form And Simple Report

April 7th, 2009 Comments off

I need a simple form created. The form will store the data in a MySQL database and will include tested information and an image upload. Data will be stored in a single table

The form must be created in a 380px x 330px DIV.
the form is to include:
———————–
Business Name
Contact Name
E-mail
Website
Business Address
City (a drop down list of city’s)
Business Description (a text box – 30px height)
Business Category (a drop down list of 12 categories)
Business Logo File (a file upload – JPG, BMP, GIF – not over 10MB)
How did you find us? (a drop down list of 5 choices)
comments (a best box – 30px height)
Submit Button
———————–

A simple management/report interface needs to be created – this is to be a very simple spreadsheet view. I want to be able to sort the columns by clicking the header and i want a download button in each row for the logo file of each entry. list only 50 entry’s per page with a page count and ‘next page’ button. Total record count and total record at the top of the page.

Please review the requirements and get back to me with any questions and your quote. Please show me a sample of a form that you have created.

Online Order Form And Po

March 23rd, 2009 No comments

I want to get a form that we manually fill out several times on a daily basis online.

Attached is a file of the form I will want to get online, I want this behind a secure login and the ability to search many of the fields. There are a few items I will want to add and several of these will be drop down menus and radio buttons but the pic attached should give you an idea of how big this form is.

I want to be able to attach an image with each form, and this form will be viewable and editable until its locked and if we have a repeat, the ability to copy and re-use a page would really be helpful.

I would also like to be able to generate Purchase orders from this and email them off.

This should keep previous customer data so we can pre-populate forms

I need this database to be really easy to back up.

A big plus would be if this was viewable/editable on a mobile device like a blackberry.

Im sure I need to talk this through a bit more but generally I want this form to create a database so we can go online and see what orders we have and be able to access and view old orders.

Bear