Classic ASP/HTML Registration Form (7455)(repost)

We have a Classic ASP page with a form that needs to have fields added that should display only if certain selections are made on an existing select box. If anything other than "Physician" is selected in a select box named providerID, the fields below should display. If Physician is selected, these fields should not display. Source files will be provided as well as a link to functional sample form on a web server (but without the fields below).

The new fields must display based on making a selection in the select box, not based on adding a submission button.

In your bid, please indicate the time frame you estimate needing to complete the work.

Here is the information for the new fields:

**Years of Experience** (Drop Down)


* 2 - 5

* 6 -10

* 11 - 15

* Over 15

**Education** (Select)

* Associate's Degree

* Bachelor's Degree

* Master's Degree

* PhD

** Certified** (radio buttons Yes or No)

## Deliverables

Please see attached file for code.

Habilidades: ASP, Engenharia, Javascript, MySQL, PHP, Gestão de projetos, Arquitetura de software, Teste de Software, SQL, Hospedagem Web, Gestão de Site , Teste de Website

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Acerca do Empregador:
( 154 comentários ) Lake Mary, United States

ID do Projeto: #3029601

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$25.5 USD em 1 dia
(54 Comentários)

3 freelancers are bidding on average $23 for this job


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$17 USD em 1 dia
(20 Comentários)

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$25.5 USD em 1 dia
(3 Comentários)