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I need a form created that will access a txt or xml file in order to validate our services being available in certain zip codes. If our services are being offered in that area we would like the user to be congradulated and then presented with an option to continue. If we do not service that area we would like them to know we are planning on expanding to that area soon and to check back at a later time. The form just needs to be a text form that allows them to enter in their zip code and then a b…

Hi – i need someone to complete the form i have started. i need it to include everything i have already done plus the following. give date and time of submit,validate email address,make some of the elements required,put a limit on image size that is submitted, allow unlimited text area, block multiple submissions, scroll and accept terms and conditions, have the content of the form emailed and possible database [future or now and assuming that will change cost?] , rescue text area in case of tim…

I have a form on this page of my site:
http://www.intoabbasarms.org/Short_Term_Mission_Trip_Application.html

I need a form that goes better with the layout (no gray!) I also need to be able to set up which email it will be sent to, because sometime in the near future that email will be changing.

thanks

Need a basic contact form that includes the following format:

Name
Company Name
Address
City State FL
Phone
Fax
Email

Question/Comment

I need this created in our existing format which is attached. i need this created today if not completed by the end of the day you will cancel and refund project

Please please dont waist my time and dont bid over 45usd

I need clone.. http://tinyurl.com/44pkag3

three step form i have done with admin and promo code only need to set java validation and real time paymetn with authorized.net

need to finsih in one day.

We are after a programmer that can create a form to upload database information into a phpbb forum.Will need 5 fields and additionally each uploaded form will need to have a poll attached to it with 6 options that never expire and only allow single voting from each registered member.

I need a simple form created with under 10 fields that can submit the supplied information into a database on another server. So I need the form to submit the date into our database when filled out by customer.

I have the web service documentation and need this done ASAP. My clients budget is $70.00 and we need to completed within 24 hours if possible.

If you have any questions, please contact me. Payment will be made ASAP once work has been completed. You can view my feedback to see, I always pay on time every time.

Hello,

I currently have a WordPress Contact Form:

http://coloradoracetiming.com/contact-us/

The contact form that I am using came with my theme. I need the form modified to add about 4-5 new categories. Things like “Phone Number” and a few others.

Should be straight forward. Thanks

There are dozens of plugins that DO NOT do what we want in terms of having a form in our sidebar.

demo site seoexpertinfountainvalley d0t c0m

The form we’re looking for needs to have validation and a very small captcha code. Once filled out, it will need to redirect to a /thankyou/ page. Only requires the fields in the demo site above.

I need a contact form where models can submit basic info like name, age, location, images and video files. The form will look similar to the form found here http://www.obsessedwithmyself.com/submit/

All the data will be stored on my server and will be retrieved by a download link which will be sent to my email address. I need to be able to copy and paste the forms HTML in any web site easily

I need a contact form where models can submit basic info like name, age, location, images and video files. The form will look similar to the form found here http://www.obsessedwithmyself.com/submit/

All the data will be stored on my server and will be retrieved by a download link which will be sent to my email address. I need to be able to copy and paste the forms HTML in any web site easily

Hello, I need a programmer to put a simple web form for customers to fill their details on, Is that simple.

Please bid if only you can do it ASAP.

Regards,
Stephen.

Need website form, brief is attached, please read and confirm you can do all specified, ask if you do not understand. Code in java and php, java or other language might be needed to calculate totals without refreshing page, but language must be compatible with linux server OS, please confirm if you have doubts over compatibility and refer to brief for more details about real time fields.

Hi, I need a form built in the next 2 hours. Here are the details:

- form will use my baisc design template
- I have a page that is already designed showing almost all of the form fields, so you will be able to copy & paste most of the code easily.
- will be locked and only accessible to logged in members
- will email the submitted data from the form to my email address
- will show the members name and email address

Thanks,
noah

I need an ecommerce form to be created from original quality script, with paypal payment option in it. Experienced programmers that can complete this job immediately are preferred. I am online now and ready to select a bid.