Build Responsive Order Form With Total Price

Completed Posted Aug 4, 2013 Paid on delivery
Completed Paid on delivery

Hello!

I need Responsive Order Form for my new web site. I'm building my web site. If you can build me a order form for that please contact me.

Here are the requirements.

When someone fills and send the order form;

1. It should send emails both of me and the customer with TOTAL Price, AND UNIQUE ORDER ID.

2. It must contain some security, like captcha.

3. Should be responsive and clean.

4. E mails should go to the inbox, NOT to the Spam.

5. Immediate completion is must, (within 2-4 days)

6. Validation.

Things I will provide you;

1. Packages with prices.

2. OLD working example form (old web site link)

________________________

Customer comes to the order form page > Select the Trip Type (1. One way Trip / 2. Round Trip / 3 Excursion Trip) > Select Arrival Location from the drop down list > Select Destination Location > Select Pickup Date > Select Pickup Time > Fill Flight No. > Select Number of Passengers > Name > Email > Telephone > Comments > Captcha > SEND > Thank you message with ID and TOTAL.

________________________

Thanks..!!

Graphic Design HTML PHP Website Design

Project ID: #4792736

About the project

8 proposals Remote project Active Aug 5, 2013

Awarded to:

dineshari

Hi we can make this

$25 USD in 3 days
(0 Reviews)
0.0

8 freelancers are bidding on average $48 for this job

kleelof

Hello, I can put this form together for you. take care, lee

$88 USD in 3 days
(102 Reviews)
6.9
farhaoui

Hello sir I have done this task a couple of times in my past projects. I'm very much interested in doing this task for you. Thank you for giving your precious time to review my bid and check PM for more details!

$73 USD in 3 days
(56 Reviews)
5.2
abidhamma

Hello, I can help you. Thank you

$83 USD in 3 days
(0 Reviews)
0.0
franso82

See my private message

$30 USD in 4 days
(0 Reviews)
0.0
pinkysam1438

hi..i am ready to start the work

$25 USD in 3 days
(0 Reviews)
0.0
mbaba

Hi there, I am interested in your project, But about the line no 4, We can manage to have less emails in spam but still it may happen. Regards,

$66 USD in 3 days
(0 Reviews)
0.0
NileshRamani

I can easily do your work within 2 days, I have 5 years of experience in e-commerce web development with standard and responsive web sites development.

$40 USD in 2 days
(0 Reviews)
0.0
kumarBrajesh

Willing to work for you . check your PMB.

$30 USD in 3 days
(0 Reviews)
0.0