Completed

create one page simple php form

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

Skills: AJAX, HTML, Javascript, MySQL, PHP

See more: need simple php form, simple php form upload ftp, simple php form capture mysql, design, php, mysql, html, ajax, javascript, simple php form logo, simple php form database, simple php form lookup phone number mysql, simple php form post text, simple php form capture, php form retain values hidden field, simple php form spam protection, simple php form required fields, simple php form record display, simple php form, simple php form validation

About the Employer:
( 112 reviews ) Roville-devant-Bayon, France

Project ID: #15599741

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

31 freelancers are bidding on average $28 for this job

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
(167 Reviews)
6.8
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
(117 Reviews)
6.8
sat12

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

$26 USD in 1 day
(394 Reviews)
6.9
naimishmakawana

Hello Sir I will create this form for you and also show a message once form filled up. Thanks Relevant Skills and Experience [login to view URL] [login to view URL] [login to view URL] htt More

$25 USD in 3 days
(75 Reviews)
6.4
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
(93 Reviews)
6.4
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
(85 Reviews)
6.2
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
(104 Reviews)
5.9
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)
5.6
surender6789

Hello Sir, I am a experienced PHP developer having more than 5 years of expertise in the same field and i can create a template and Logo for your new website. -Please share some more information for better unde More

$50 USD in 0 days
(39 Reviews)
5.5
mansavw

"Holding prior experience in the kinds of work, you're looking for -- I can readily assist you building your PHP form (as described in job description)." Hi, Thanks for sharing the quick details! Relevant Skills and More

$88 USD in 2 days
(6 Reviews)
5.0
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
(6 Reviews)
4.2
infoshemeer

I can build anything you need!!! I am an expert .PHP Developer and have to my credit many years experience working for employers around the world. My experience includes working as a .PHP Developer Relevant Skills and More

$20 USD in 10 days
(66 Reviews)
4.5
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)
4.6
pujaroy22

A proposal has not yet been provided

$20 USD in 1 day
(8 Reviews)
4.3
ritwebtech

Hello there, I am a Web designer & developer who have 6+ years experience of program develop and 4+ years in mobile apps (Android & IOS). My main field is social and some top technologies, such as Photoshop, Illustr More

$20 USD in 3 days
(14 Reviews)
4.2
christina717

Hi, I am glad to see your job posting on "create one page simple php form".I'm a "Professional Web Developer". I've five years experience in this [login to view URL] more information will you please visit my work [login to view URL] More

$20 USD in 1 day
(25 Reviews)
3.6
clarionsoftech

Let me know your project design or code and I guarantee to help you see it through to the end. Skills: Photoshop, Illustrator, PSD to HTML, WordPress, XML, HTML5, PHP, CSS3,bootstrap,jQuery,javaScript Relevant Skills More

$17 USD in 2 days
(11 Reviews)
3.3
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
(14 Reviews)
3.1
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
(15 Reviews)
3.7
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
(3 Reviews)
3.1