Application form to order our products

Contest Brief

I need a designed application form to order our products.
The application form should look like this URL : [url removed, login to view] (but more design)
Then once selected, the application should :
1) open a back end URL and wait for the result of the URL opened to display a confirmation on the front end (client)
2) send an email

The development should be done in PHP and the list of products should come from a Mysql database.
Include a possibility to add credit card epayments in futures.
The goal is to provide a few code to add on our resellers web site. Then their clients will be able to order our products.

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Employer Feedback

“Very professional”

Profile image djagu, France.

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Public Clarification Board

  • ankurs13
    ankurs13
    • 3 weeks ago

    Is using PHP mandatory? Would you be willing to take submissions in Ruby (Sinatra Framework) or Python (Flask framework) or Node.js (Express Framework)? The database will still be MySQL.

    • 3 weeks ago
  • djagu
    Contest Holder
    • 3 weeks ago

    Hi, I will need to php/html code + the query to create the back-end database.

    • 3 weeks ago
  • ramseyjim
    ramseyjim
    • 3 weeks ago

    Hello Contest Holder. For purposes of the contest, will the winner be required to upload the template onto your website or you just want the graphical part of the design? Thanks

    • 3 weeks ago

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