create one page simple php form

Completed Posted 6 years ago Paid on delivery
Completed Paid on delivery

a need a very quick html/php/js and easy form done - hard code the food choice options into an array in the head that i can change

======================

Éire Óg LGFA Medal Ceremony 2017 (title)

description text on top

name (textbox) *

email (textbox) *

phone (textbox) *

No of Adults: drop down select (1-20) *

on selection we get lines for the amount of adults

Adult #1 <food choice choose from drop down> 

Adult #2 <food choice choose from drop down> 

No. of Children Excluding players: drop down select (1-20)

Child 1 <food choice choose from drop down> 

Child 2 <food choice choose from drop down>

Child 3 <food choice choose from drop down>

No. of Players: Girls/Ladies: drop down select (1-20) *

<input first name> <input second name> <dropdown team category including values :U8,U9,U10,U12,U14 > <food choice choose from drop down>

Any dietary requirements? (textarea)

when the form is submitted the details are sent via email to an email address (also save to db [email][name][phone][all details][total_cost]

and the thank you page has the TOTAL price that the person should pay

prices are :

adults = 20

children = 10

* means mandatory fields

AJAX HTML JavaScript MySQL PHP

Project ID: #15599741

About the project

28 proposals Remote project Active 6 years ago

Awarded to:

shoaibthink

I have 6+ years of experience in php and can develop this form for you as mentioned in your requirements. Relevant Skills and Experience php, html, css Proposed Milestones $20 USD - create one page simple php form

$20 USD in 1 day
(8 Reviews)
3.6

28 freelancers are bidding on average $30 for this job

imagicaworld

Hello sir, I have checked the details and i am very sure to develop similar one php page. I am expert in php so you will get a quality work. Relevant Skills and Experience please get in touch for more. Thanks and rega More

$20 USD in 10 days
(250 Reviews)
7.9
esagetech

I can start immediately and can code the form with all requirements. Kindly initiate chat so we can discuss and start working on it Relevant Skills and Experience I have 8+ year of experience working with PHP, MySQL, More

$20 USD in 10 days
(126 Reviews)
7.5
sat12

i will make the form. Relevant Skills and Experience php Proposed Milestones $26 USD - work

$26 USD in 1 day
(520 Reviews)
7.3
rajibdebslg

Hi, I have gone through your project description and very much interested in it. I can do this work. If you are interested I need few things to discuss. Relevant Skills and Experience PHP, HTML, CSS Proposed Mileston More

$40 USD in 2 days
(180 Reviews)
7.0
maxtechsl

Hello, ready to create your PHP form as per requirement at the earliest. Relevant Skills and Experience I have 10+yrs experience in PHP programming and assure you quality work. Proposed Milestones $35 USD - we can di More

$35 USD in 2 days
(104 Reviews)
6.7
navjootkaur

Hello, the hiring manager, I read your requirement. You have required one-page simple PHP form. Relevant Skills and Experience I Have 5 years experience inAJAX, HTML, Javascript, MySQL, PHP. Proposed Milestones $30 More

$30 USD in 1 day
(162 Reviews)
6.5
ersumit88

PHP form work Relevant Skills and Experience • Skills:- Shopify, PHP7,Cake PHP,Laravel, MySQL, Ajax, jQuery, Javascript, HTML5, CSS3 • PHP Framework:- Codeigniter • PHP ecommerce:-Woo commerce • Api:- Google Drive Ap More

$55 USD in 1 day
(42 Reviews)
5.8
rohitjaat72

I can create a php form for you. I am expert in php. Relevant Skills and Experience I''ll give the earliest with the minimum cost involved. Proposed Milestones $15 USD - .

$15 USD in 1 day
(64 Reviews)
5.7
albertgaya

Looking forward working on this Relevant Skills and Experience 6 years of experience in PHP and Web development Proposed Milestones $15 USD - Development None

$15 USD in 1 day
(16 Reviews)
4.9
pujaroy22

A proposal has not yet been provided

$20 USD in 1 day
(17 Reviews)
5.0
ouarkaayoub

Hello, Bonjour, I am ready to start working on your project, we can discus more details via chat, i can create as you describe. Relevant Skills and Experience AJAX, HTML, Javascript, MySQL, PHP Proposed Milestones $ More

$20 USD in 2 days
(43 Reviews)
4.7
GeorgeKazi

Bonjour! I can help you quickly create a php form. Let's talk! Relevant Skills and Experience Web development PHP Proposed Milestones $20 USD - 1

$20 USD in 0 days
(25 Reviews)
4.8
igentechnolabsvw

I have gone through your project description and very much interested in it. I can do this work. Relevant Skills and Experience PHP, Mysql Proposed Milestones $20 USD - Milestone-1

$20 USD in 1 day
(9 Reviews)
3.6
Arbiter159

Dear sir, I have read the requirement as well. I am able to complete your requirement on time. please contact me if you are interested in my proposal. https://www.freelancer.in/u/Arbiter159 Relevant Skills and Experie More

$20 USD in 10 days
(5 Reviews)
4.8
sumitkandwal

can we discuss this before starting this project Relevant Skills and Experience AJAX, HTML, Javascript, MySQL, PHP Proposed Milestones $30 USD - lets discuss in this detail

$30 USD in 10 days
(4 Reviews)
3.1
YRS2008

We can do this job for you. Relevant Skills and Experience Php , mysql , html Proposed Milestones $20 USD - Project Amount

$20 USD in 2 days
(0 Reviews)
0.0
websartagency

hi give me this job also see my works regards Relevant Skills and Experience php html jquery css Proposed Milestones $25 USD - form build

$25 USD in 1 day
(0 Reviews)
0.0
sumitavasarkar

I have group of exp web development. I offer you unlimited revisions for my work through constant communication until and unless you are 110% satisfied. I am committed, honest,reliable, responsible Relevant Skills an More

$13 USD in 1 day
(0 Reviews)
0.0
webclinicalworks

PHP , ajax, bootstrap, html, js expert here if you want to work with me just drop your message ! just in 1 day delivery with custom requirement anytime changes available here ! Relevant Skills and Experience php, ajax More

$20 USD in 10 days
(0 Reviews)
0.0
twinklecodearom9

I have advanced knowledge and experience with front-end and back-end technologies such as HTML, CSS3, XML, JavaScript, Ajax, jQuery, PHP, MySQL, AngularJS, Photoshop, BootStrap. Relevant Skills and Experience - Websit More

$25 USD in 1 day
(0 Reviews)
0.0