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PHP, Database, MYSQL

I have created an HTML form, it's already validated with Javascript. I will capture 6-20 data points, I need two forms, one short version, and one long-version. The short version will be added to capture name, email address, and phone number, the longer one will capture, name, address, email, #'s, work#, and a few other data points. The goal is to send this data to php. No DESIGN WILL BE NEEDED, SO FACTOR THIS IN YOUR QUOTE. I'll have forms built already, on a responsive website.

You'll need to create database

Create programming for the PHP to send the html form data

Create the security to ensure client safety

256K encryption is ideal

-email validation

The project is super simple- let me know what the estimate, anything above a certain threshold for me, will be disqualified.

Skills: PHP, MySQL, JavaScript, HTML, Web Security

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About the Employer:
( 0 reviews ) Bell Gardens, United States

Project ID: #28986370

38 freelancers are bidding on average $159 for this job

(712 Reviews)
9.3
(476 Reviews)
8.6
webdesign786

Hi, I'm a professional full stack developer having 8 year experience. I have great experience in PHP CodeIgniter, WordPress I can do changes in your website form Please ping me we will discuss further in chat. respon More

$200 USD in 7 days
(212 Reviews)
7.7
(271 Reviews)
7.6
(648 Reviews)
7.4
webXpart

Hi, I checked your project detail and I have more than 5-6 years of experience on PHP,MYSQL and I am ready to start working. My profile at freelancer - https://www.freelancer.com/u/webXpart.html Portfolio: https://w More

$188 USD in 7 days
(86 Reviews)
7.1
babitabubu

Hi I can build PHP, Database, MYSQL for your HTML form website that you have built according to your requirement and specifications you share. I have built many business websites hence I can do it for you with quality More

$400 USD in 5 days
(263 Reviews)
7.4
webmaestro2013

Dear Sir/Mam I will add both forms values in adatabase PLEASE HAVE A LOOK AT MY PROFILE FOR MORE ABOUT MY RATING AND REVIEWS I will complete this job successfully. I have 13+ years experience in php. I have done mor More

$200 USD in 7 days
(211 Reviews)
7.0
nixtech

Hello Sir I can deliver both of form in next 24 hour. Can i have complete form field details? Please check my profile for work and experience. Regards Hardeep.

$125 USD in 1 day
(317 Reviews)
7.0
mamunstudios

Hi there, I am ready to start now. I have excellent experience in PHP , MYSQL . I can finish this job within the necessary time frame. I am expert in HTML5, CSS3, Javascript, jQuery, XML, JSON, Ajax, PHP, WordPress, Co More

$60 USD in 7 days
(48 Reviews)
5.3
tutulsoft

-- 20 years Expert --- 190 USD at 3 days ------------------ satisfaction guaranteed, future support always free ------------

$190 USD in 3 days
(23 Reviews)
5.4
satec25

hi, i am ready to start development html 2 forms for you. i am professional php and laravel developer. i am interest to working on your project. if you have enough time, please send me a message.

$100 USD in 5 days
(18 Reviews)
4.9
eavnitech

Hello there, I hope you are doing well. I have understood your requirements, just need some more details 1. If you have list of data points please share 2. is there any dynamic fields in the forms I am a Full Stack de More

$100 USD in 7 days
(14 Reviews)
4.9
blackrockwise

Hello, I can write custom PHP code to add data to your database table when the form is submitted, and this form will only submit when it passes all validation and well encrypts to avoid code injection.

$205 USD in 2 days
(13 Reviews)
4.7
merinsinha

I can do it. Senior PHP , MYSQL , Expert. As 12+ years experiences in these field. I can give good quality work. I have read the guidelines of your work.I believe that i can provide you the best quality works you are More

$400 USD in 5 days
(35 Reviews)
4.5
usama1s

Hi I will create the database for both the forms with email validation and 256K Encryption. The forms will be submitted with 256K Encryption after the email is validated. Can you plz share the HTML forms? Do you want More

$120 USD in 3 days
(15 Reviews)
4.0
GoyalRidhi

I have 6+ years experience on the Laravel framework on PHP .I am a full stack developer .Please initiate a chat so that we can discuss more . Thanks Ridhi

$205 USD in 10 days
(6 Reviews)
3.9
danilevichsanya7

Hello. thank for your job posting. I read your project very carefully. And I can do your project in 3days. I am a new freelancer. But i have a much experience in php and DBMS. And i think this project for my role. I re More

$120 USD in 3 days
(8 Reviews)
3.7
nutankumarftp

Hi There, I have read your post requirement for the " will capture 6-20 data points, I need two forms, one short version, and one long-version. ". Now I have some questions to clear the things for this project. I am fu More

$200 USD in 10 days
(10 Reviews)
3.8
raghupani

hey there I read your full requirements you need two form one long and 2nd short I have 5 yr experience in PHP and also I we'll provide a secure connection. if you want demo please DM me thanks I am waiting your rep More

$100 USD in 5 days
(14 Reviews)
3.7