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Build a form from image in PHP

  • Closed
  • Posted 1 Feb 2016 at 18:15
  • Remote (anywhere)
  • Freelance / Casual
  • 5 bids

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About the project

Build a form as per attached image in php. Display data from a mock up mysqltable.

  1. The form must be display exactly as in the image including all css
  2. The data displayed is only for test, but the php to retrieve and display the data must be in the code.
  3. None of the buttons need to do anything at this point.

All of the bids so far are from people not rated which makes me nervous. This is the first of many pieces of work. So as I cannot work out how to communicate with each of you on this site can you provide me with links of similar work done. Thanks. Kevin

Attachments

  • IT Oceans Web Solutions
    Melbourne, VIC 3 Feb 2016 at 23:30

    I can do it very quickly.

    View portfolio
    $70 in 1 day
  • Nidaksh
    New South Wales, NSW 3 Feb 2016 at 21:23

    Hey simple and ready to do . and in your budget :)

    $250 in 1 day
  • Brett Hollander Sydney
    5.0 (1) Sydney, NSW 4 Feb 2016 at 07:53
    Chosen

    Hi Kevin,

    I am available to build this now.

    I'm based near Dee Why, Sydney.

    I've been in IT for over 20 years and worked in varied roles from developer through to manager recently. I have a Computer Science degree.

    In November 2015 I embraced a switch to try out freelance work on the web. The technology stacks I have experience in are Microsoft based however I've recently started using Wordpress, PHP, MySql and whatever else I need to get the job done.

    To date my portfolio of work is limited as I've only done 1 job at Upwork [so far].

    For reference to this type of work, my personal site is largely built in PHP and retrieves news/article information from MySQL.

    My various contact details are listed below:

    brett.hollander@optusnet.com.au

    I look forward to hearing from you.

    Have a great day!

    best regards

    Brett

    http://bretthollander.com.au/wordpress/

    View portfolio
    $300 in 3 days
  • Net Ninjas
    Southbank, VIC 3 Feb 2016 at 18:17

    PHP developer with over 10 years experience. Proficient with responsive form development utilising BootStrap3 Frameworks for mobile first layouts. Can complete this within 2 days

    View portfolio
    $500 in 2 days
  • Limeblock
    3 Feb 2016 at 09:42

    We act as an overflow agency for advertising studios

    • We can setup a mysql table
    • Build the form as per image
    • Create js/css to customise the form elements
    • Create PHP email script on form submission

    would you supply mockup of email?

    $700 in 1 day

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