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Build a webform for website

$15-25 USD / hour

Closed
Posted over 5 years ago

$15-25 USD / hour

I need a Web Form that can capture Customer Info. If the service is available in the city - the customer address needs to be pinned to a Map and logged. According a Geo-Fence created based on suburb's availability for the cities the status of the suburb must change color based on % Sign Up. There are two sign up options. Interested , Interested - Secured. Interested - Secured must direct to a contract page and then a payment gateway where the customer can pay to secure his spot. The Customer info also needs to be passed via API to a management system and logged as a lead or lead - PAID. Additional development will be required as the product set grows. Data Field and API info will be made available per request
Project ID: 18157516

About the project

73 proposals
Remote project
Active 5 yrs ago

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73 freelancers are bidding on average $18 USD/hour for this job
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Hello, I have read your job and believe I will be able to assist you for your project. Available for immediate discussion, Let's proceed and work together. Thank you.
$15 USD in 40 days
4.9 (1008 reviews)
9.2
9.2
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Hello there! You are welcomed by a professional and developed team "Webcapitan". We will be glad to cooperate with you and create a Web Form that can capture Customer Info all in accordance with your needs, desires and requirements.
$22 USD in 40 days
5.0 (376 reviews)
9.3
9.3
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Hi, I have reviewed requirements and understand you want a web form developed to capture customers information and an api to passed the same capture information to the management system and proceed further as per have mentioned PAID. In addition you want two type of sign up options interested and interested secured, the customers address to be pinned to a Map and logged as the service is available in their city and more. We can build this and willing to discuss further. We are a team of skilled and experienced professional developers and designers. We have great feedback and have 14 years of hand on experience of the IT Industry. We have built many customized solution as per requirement. Hope to see your reply and to work with you. Regards.
$15 USD in 40 days
4.9 (220 reviews)
8.9
8.9
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Hello, we are interested in develop webplatform. Glad to discuss more detailed. Please, review our experience here - https://www.freelancer.com/u/webbookstudio. Waiting for Your valuable response via Fl chat. Regards.
$16 USD in 40 days
5.0 (377 reviews)
8.9
8.9
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Hi, I understood your requirement and I will create your web form at all goods. Please see our Freelancer profile for past track history, https://www.freelancer.com/u/Lxtech.html we have a good track record with 550+ completed projects and do come in a top rated web agency. **Kindly open your PMB for further discussion. Best Regards, Lx.
$15 USD in 35 days
4.9 (537 reviews)
8.8
8.8
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Ready to work with you, could you please send me some more details about your project so we will estimate it accordingly....
$15 USD in 40 days
4.8 (569 reviews)
8.4
8.4
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Yes sure I will provide you build website form for website I am having more than 10+ years of experience in website design and development Top rated developer on freelancer.com for website design and development PM me so we can discuss more in details and move ahead Thanks Champian
$16 USD in 40 days
5.0 (177 reviews)
8.1
8.1
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Hey there , I am ready to start work . i have fully confident to make for you webform for website based on your requirement . so lets discuss related requirement and make deal with it . You can check my expertise with my profile. Thanks
$15 USD in 40 days
4.7 (557 reviews)
8.5
8.5
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$22 USD in 40 days
4.6 (293 reviews)
8.0
8.0
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Respected Sir/Ma'am , Greetings !! First of all i would like to say thank you for giving me opportunity to show my skills . We have 40+ developers and they are well expert in IT software industry of over more than 5 years and build numbers of Graphic Design, HTML, PHP, Website Design, WordPress. We are able to do your project with the best quality work and assure you that we will give your project with in time line . Thanks in Advance.
$15 USD in 40 days
4.9 (163 reviews)
7.6
7.6
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Hi there. As a serious full stack developer, I am very glad to see your project. Please contact me with your job details. I can deliver the perfect result in a short time. Thank you for your time Best regards.
$22 USD in 40 days
4.9 (111 reviews)
7.5
7.5
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Hey there, With a proven track record of successful achievements, I am pleased to present you my proposal For your Project. I strongly believe I can make a significant contribution in your project. My expertise: Strong database knowledge specifically MySQL, MongoDB. Extensive knowledge of Django, React native, Node.js I possess excellent communication skills and can liaise effectively with both clients and work colleagues. I would be highly gratified if you consider me for this important Job. we can discuss in details Over chat Thanks Seema
$22 USD in 40 days
4.7 (89 reviews)
7.3
7.3
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Hello, I am Pankaj Gupta having 6+ year experience in web development. Skill- 1) Magento 2) Worpress 3) Html5 4) Css3 5) Core Php 6) Javascript 7) Jquery 8) Bootstrap 9) Mysql Please visit portfolio on my freelancer profile- https://www.freelancer.in/u/octaservices Please contact me so I can discuss with you project in detail. Thank You
$15 USD in 40 days
4.8 (118 reviews)
6.8
6.8
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Hello, I am a full stacking developer, I have worked many Application and live on application store, we will discuss about project feature and I will give you the best work of mine in estimate time duration.I'm very familiar to application Features I will develop Mobile Application as per your requirement, I provide the 6 months free support for this project If you want to see my previous work I will show you Regard YashTech Thanks
$15 USD in 40 days
4.3 (68 reviews)
7.4
7.4
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Hi, I am clear with the description but there would be more which I would like to discuss like the framework you want this to be built in and the interface requirements. I'll look forward for your response. Regards, Waqas
$15 USD in 35 days
5.0 (47 reviews)
6.3
6.3
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Hi Sir , I have gone through your project detail and I am much confident to do any kind of work develop website ,mobile app as per your need. We have over 40+ qualified developers, designers, testers sitting under one roof. We are offering Website Design & Development with PHP Development and Mobile Application Development services at modest rate. We have a dedicated team of professional designers and developers with over 8 years of Hand on experience and have worked on 1500+ developing websites and 538 mobile apps. Let’s have a quick conversation on the details to proceed further with this project. Thanks& Regards Neha
$22 USD in 40 days
4.8 (77 reviews)
6.4
6.4
User Avatar
Hello, I understood that you need to develop website.I have gone through the details of your project,I am capable to do this project. You can see my profile as i am experienced and can give you qulaity work on time. I can show my past work over chat. Kindly give us an opportunity to work for you at our best. Thanks & Regards Ramakant
$16 USD in 40 days
5.0 (15 reviews)
5.8
5.8
User Avatar
Hi, We have gone through your job post and we can surely help you out to develop web page as per your requirement. We have 7 years of experience in WP web development. We have some questions for you: 1. Do you have detail document for your project? 2. Will you provide designs to us or we have to do them? 3. Which payment gateway you want to integrate? 4. Which third party API you want to integrate? 5. When are you available next to discuss? Looking forward to hear from you. regards
$18 USD in 40 days
4.8 (32 reviews)
6.3
6.3
User Avatar
Hi, I have 4+ years of experience in web development in wordpress,PHP,HTML,CSS,JQUERY and Javascript. I am a software engineer and specialized in web development. My Skills:-WordPress website development and design,Fixing wordpress issues, problem and errors,WP-eCommerce and WOO commerce,HTML,CSS customization,WordPress Migration (From one host to other host) and Backup,Themes customization. All my skills matched with your requirements, So I can easily help you to complete this project. Kindly let me know once you are here, So we can discuss further in details. Best Regards, Dilshad
$15 USD in 40 days
4.8 (30 reviews)
5.5
5.5
User Avatar
Hello, As per our understanding of the project is you are looking out to have a web form designed and built that can capture customer info. We are a team of experienced professionals and would like to design and build a web form as per the content provided by you. We assure you clean and professional work. We have enough expertise with PHP, CodeIgniter, Laravel, Angular.js, HTML5, CSS3, JQuery, OpenSource Tech (Wordpress, Joomla, Drupal, Magento), ROR Technology as well. We would appreciate further discussion over private message board to discuss in detail and give you precise price and time-frame. Please give us an opportunity to work for you, We will feel glad to work for you. Will waiting for your reply.
$22 USD in 40 days
5.0 (14 reviews)
4.9
4.9

About the client

Flag of SOUTH AFRICA
Johannesburg, South Africa
5.0
1
Payment method verified
Member since Jan 16, 2016

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