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need 3 web forms

I need three web forms created. Two for companies to submit appointments and one for a company to submit the lead. The forms must contain name, email, phone, date and time of appointment as well as address that can be filled in using a google maps plugin.

These forms then have to be able to be submitted and then emailed to a specific address.

The back end data must specify which lead source is sending the form as they all will be sent to the same email.

Skills: PHP, Google Maps API, Javascript, HTML, WordPress

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About the Employer:
( 4 reviews ) Somerdale, United States

Project ID: #20888061

97 freelancers are bidding on average $155 for this job

softsolution2000

Hey let me do it right away... I can start this project. You can pay after your complete satisfaction no advance payment.

$90 USD in 7 days
(353 Reviews)
8.4
idragon712

Hello I have read your description carefully and I am sure what you mean. I have expertise in Google MAP and website form building. I have done many projects in these fields, so I can bring you the perfect result for y More

$140 USD in 7 days
(94 Reviews)
7.8
eClickApps

Hi, Hope you are doing good. As you mention in the job description you want to develop 3 web forms. Two for companies to submit appointments and one for a company to submit the lead. and form contains name, email, phon More

$550 USD in 7 days
(228 Reviews)
8.0
voizacinc

Hi, There.. Great wishes from Supriya. I would be able to design and develop 3 web forms with different fields. 2 for appointment, and other for submit the lead. Do you have design preferences for the discussed J More

$140 USD in 7 days
(121 Reviews)
7.5
imagicaworld

Dear Client , We are Really interested to do work with you , We are Web & Software development company having more than 6 year experience in Software development we totally committed to quality service, Transparency, More

$150 USD in 7 days
(181 Reviews)
7.4
siddhu1986

Hi, Experienced Web Developer with years of experience in PHP/MySQL/Web Forms. I can build your forms in good time. I can start today and finish tomorrow. I can add validations and Email sending function to each form. More

$120 USD in 2 days
(515 Reviews)
7.5
isensebd

Hello Can you please clarify why it should be used google maps api? Will the forms will be different based on location or just to select location from api?

$250 USD in 5 days
(123 Reviews)
6.9
junkyfunky

Hello, I've read your project description and I want to tell you that I can create a Professional and High Quality 3 web forms for you as per your [login to view URL] have a quick chat to discuss this project. We h More

$90 USD in 10 days
(198 Reviews)
7.4
shayona163

hello sir i am expert in wordpress and woocommerce i have 6 year experience in this field you will satisfy with my work i can start work right now see below i did work with that [login to view URL] https://wordpress. More

$140 USD in 2 days
(206 Reviews)
6.9
Rautella

Hi There, I am ready to create 3 form for your website. All the form will the name, email, phone, date, time of appointment and address based on google map. All the filled data will be mailed to your given email id and More

$120 USD in 3 days
(263 Reviews)
6.8
vbtise

We are interested to create three web forms for you. Yes, the forms will contain name, email, phone, date and time of appointment as well as address that can be filed in using a google maps plugin. Two will be used for More

$250 USD in 8 days
(44 Reviews)
6.9
mninfotech2

Hi there, I have gone through your project requirement specification and as per my previous experience with this, I am ready to complete your Design work with your satisfaction using Html,Html5, css , css3 ,ajax More

$150 USD in 5 days
(128 Reviews)
7.3
ahmedtaufique98

Hi there, I am Aqib professional SEO friendly web designer & developer i can redesign and develop your website . Please come in private chat to discuss more in detail about your project. I have 3+ years of experience More

$250 USD in 5 days
(76 Reviews)
6.6
amitpandeyposin

Hi there, we have read your project description carefully we can do everything you have mention in project details send me message for details we can start work right now we have a wordpress certified developer we hav More

$140 USD in 7 days
(125 Reviews)
7.0
seefattechnologi

Hey!! i can surely create 3 webforms for you. I am PHP Full Stack Developer having more then 6 years experience with different CMS and frameworks. I can ensure you quality work with clean design. Skills: PHP, Word More

$139 USD in 2 days
(74 Reviews)
6.6
grigorywazin

Hello. How are you doing? I've just read your project description and I will make your 3 forms based on your requirements. I am a senior developer who developed a lot of websites so I have got more than 5 years of expe More

$100 USD in 7 days
(33 Reviews)
6.5
mukeshpalyashco

Hello, I have read your project description, You want to appointments three web forms And Yes I can do it. I will provide you very creative web forms with complete of features. ******* If you want to demo I will pr More

$250 USD in 5 days
(50 Reviews)
6.7
naravila

Hi, Sir I've read your requirement carefully. As you can see my profile, I'm a senior Web developer. I've plenty of experiences and finished lots of projects before. I'm sure I can finish your task perfectly in a short More

$200 USD in 5 days
(62 Reviews)
6.6
rahuliitm69

Hi there, Yes, we can build a 3 web [login to view URL] have done similar work before. We have all skills, We are an expert in Web development using PHP (Cake PHP, Core PHP), WordPress, E-commerce, JavaScript, Codeignitor, HT More

$140 USD in 7 days
(38 Reviews)
6.2
imphasys

Dear Sir/Madam  Greeting of the day…… My years of experience in building a complete website, web and mobile app solutions for both large and small business have given us a unique insight in creating the right website f More

$140 USD in 7 days
(77 Reviews)
6.6