Simple Order Form-No payment field required

Completed Posted Jun 23, 2009 Paid on delivery

$30-250 USD

Paid on delivery

Completed Paid on delivery

Reposting due to undelivered product. I have the HTML of this order form done, it is 11 fields written in Dreamweaver. I need the form the be validated, and the php to work, and be linked to a page (also completely ready to go). Should take a knowledegeable php scripter about 30 min to complete. It does include drop down boxes, and I am looking for it to be finnished and working [login to view URL] only respond if you are able to meet the above criteria.

PHP

Project ID: #456495

About the project

21 proposals Remote project Active Jun 24, 2009

Looking to make some money?

Benefits of bidding on Freelancer

Set your budget and timeframe
Get paid for your work
Outline your proposal
It's free to sign up and bid on jobs

Awarded to:

grtsolutions's Profile Picture
grtsolutions

Hi, how are you? Please, see PM.

$30 USD in 0 days
(55 Reviews)
5.6

21 freelancers are bidding on average $36 for this job

dreamci's Profile Picture
dreamci

hello , lets start right now

$30 USD in 0 days
(199 Reviews)
8.7
php4world's Profile Picture
php4world

Hello! Please check your PMB.

$40 USD in 0 days
(147 Reviews)
6.8
jsinfoway's Profile Picture
jsinfoway

Lets get it done.. Thnx JSI Team

$50 USD in 1 day
(73 Reviews)
6.6
MustafaSR's Profile Picture
MustafaSR

Pls check PMB

$30 USD in 1 day
(83 Reviews)
5.8
youspaze's Profile Picture
youspaze

Hello sir, i'm anass a professional php programmer, We Can Do It right now, pm me please

$39 USD in 1 day
(27 Reviews)
5.6
devservice's Profile Picture
devservice

Can be don in 1 day. Escrow required. Thanks.

$30 USD in 1 day
(95 Reviews)
5.7
snowwolf's Profile Picture
snowwolf

lets discuss via pm

$40 USD in 1 day
(23 Reviews)
5.3
OccamsRazor's Profile Picture
OccamsRazor

Please see your PM for additional details. Thank you.

$60 USD in 0 days
(12 Reviews)
4.7
tesfalem's Profile Picture
tesfalem

Lets do it. Please check PM for demo. Thanks

$30 USD in 0 days
(26 Reviews)
5.1
web2apps's Profile Picture
web2apps

Will finish within one hour!

$30 USD in 0 days
(24 Reviews)
4.8
JazibUllah's Profile Picture
JazibUllah

Please read my PM

$30 USD in 0 days
(19 Reviews)
4.6
gafhus's Profile Picture
gafhus

Ready to start.

$40 USD in 0 days
(8 Reviews)
3.5
wiltave's Profile Picture
wiltave

Please, let me help you.

$30 USD in 1 day
(0 Reviews)
0.0
Nemetz's Profile Picture
Nemetz

can finish in 1 day

$30 USD in 1 day
(0 Reviews)
0.0
herohat's Profile Picture
herohat

I can do the job.

$30 USD in 1 day
(0 Reviews)
0.0
aaqibmukhtar's Profile Picture
aaqibmukhtar

i am ready to go for it. and will finish it in time view my pmb

$40 USD in 1 day
(0 Reviews)
0.0
Post a project like this