Design an Application (FORM) HTML Page

$30-250 USD

Completed

Posted

over 10 years ago

$30-250 USD

Paid on delivery

Our company will be offering membership cards, and customers are required to submit an application FORM. The form will simply be sent to our email after they click SUBMIT. HOWEVER, I do not want a simple form from DREAMWEAVER, I need it to be similar to this: EXAMPLE 1: [login to view URL] EXAMPLE 2: [login to view URL] EXAMPLE 3: [login to view URL] The application/FORM must be 3 steps: Step 1 - Fill out out the Application Step 2 - Confirm the application (screen shows all filled out Step 3 - Application Submitted, Redirect Page showing my desired message. Our company website: [login to view URL] Please use the same orange and blue in css to copy the theme. This page will be separate from the website. Rather time sensitive project. BEFORE SUBMITTING BIDS PLEASE CONTACT AND WORK WITH ME TO SEE CAPABILITIES. A LOT OF OUR CUSTOMERS ARE MOBILE USERS!!! FORM MUST BE FULLY CUSTOMIZABLE AS FAR AS FIELDS, DROP DOWNS, TEXT, IMAGES, ETC

Graphic Design

User Interface / IA

Website Design

Project ID: 4875421

About the project

12 proposals

Remote project

Active 11 yrs ago

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Awarded to:

@charli007

Give me a day. and I'll finish it. Its easy for me.

$110 USD in 1 day

4.8

(14 reviews)

4.8

12 freelancers are bidding on average $181 USD for this job

@scientificwebs

We believe good design is like good manners, you just simply have it and you do not need to prove it. You might not find us on Award lists and we do not aim to get any award. Our award = superb result = happy client. We consider our client as our partner. We believe that a web development is a human activity and it is about good chemistry, respect and open mind. In a good partnership, good results happen. Good cooking makes good eating! Please check our Portfolio with reviews Best Regards KK

$206 USD in 3 days

4.1

(133 reviews)

6.5

@engrteto

I'm interested in doing your project very much. Your satisfaction is 100% Guaranteed!. Please check PMB. Thanks

$240 USD in 5 days

4.8

(66 reviews)

6.3

@PhpYouth

Hello sir I can start right now for you. Plz check personal message similar work portfolio. Regards PHPYOUTH

$122 USD in 2 days

4.8

(23 reviews)

5.2

@sautrik

Hello, Please check your private message section for our offer. Regards, Vijay

$157 USD in 5 days

4.8

(45 reviews)

5.0

@Rashmiagg

Lets discuss this

$166 USD in 2 days

5.0

(14 reviews)

4.5

@sotrue

We are team of creative desingers and developers. Please check PM.

$226 USD in 10 days

4.5

(5 reviews)

4.4

@allblue

I can help you with this project.

$360 USD in 5 days

3.9

(8 reviews)

4.4

@dustafo

I can get this done for you. We can't contact you on message board until after we make a bid :)

$210 USD in 3 days

5.0

(19 reviews)

4.1

@OP3NSOURC3

Lets start right away...

$155 USD in 3 days

5.0

(7 reviews)

3.5

@iffal

Kindly check the PM.

$194 USD in 2 days

5.0

(1 review)

1.5

@nithyarajeshg

I am interested in this project

$111 USD in 5 days

5.0

(1 review)

0.2

@enterprisecoding

I am great with HTML, CSS, JavaScript, and PHP, so this would be a fairly simple job. All it would really entail is the customization of the appearance of the text fields.

$200 USD in 4 days

0.0

(0 reviews)

0.0

@Yoosuf009

Being a web developer by profession, I am highly experienced in the Yii Framework, and based on your requirements I suggest this project should be developed using it. Check my PM for more info

$35 USD in 1 day

0.0

(2 reviews)

0.0

@eComOS

Hello marvmarler, I have read your requirements and I am very confident to do this project. I guarantee COMPLETE satisfaction before payment. Please check PM for more details!

$176 USD in 3 days