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WEB-BASED FORM (PHP/AJAX/JAVASCRIPT/Etc)

Highly-rated, high-competent provider wanted for the following project:

Create a .php based web form that collects two of three optional fields of input data from the user. Data collected from the user will be used for a http get to retrieve structured data (some in XML) to populate a web form. I will provide structure and layout of the web form that the user can complete and print (print friendly layout required) using [url removed, login to view]().

On the initial http get, there will be some logic required. The http get will include a date (eg, 8/3/2009). The form can only be generated within 21-days of that http get date. If outside, it will return a brief message on a new web page.

The output form itself may have some logic, input fields so please bid accordingly. A unique code (based on timestamp or other unique variable) for each form generated is required. The unique code and one piece of input data should be captured in a flat-file or database.

In the end, the provider's output should include four pages: one page to collect the data, one error page if the data collected is incorrect, one page if the data is past 21-days and one page with the editable form.

PROJECT REQUIREMENTS:

-Provider can recommend best solution including languages use for this project.

-Code should be clean, minimal for quicker load times and commented.

-All inputs should be sanitized/parametrized.

-Should use existing cSS for any text or formatting management.

-Must be a cross browser solution including IE/Safari/Firefox.

-I will provide template, which includes header, left navigation and footer. All new pages should fit within this layout.

BID REQUIREMENTS:

-Generic bids will be rejected. Serious bidders only.

-Please bid the time frame appropriately.

-Please put the text "I have thoroughly read your project brief and project requirements" so I know you read the entire project description.

-Please email me for additional information.

Habilidades: AJAX, Javascript, PHP

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Acerca do Empregador:
( 49 comentários ) Kowloon, United States

ID do Projeto: #547860

24 freelancers estão ofertando em média $113 para este trabalho

VALUEONWEB

VALUEONWEB is a customer-specific service oriented company has got a Professional and creative team. We are the Professional Web Development Company having rich experience in Web design and development. We have experti Mais

$50 USD in 0 dias
(214 Comentários)
7.9
imszone

Hi, please see PM.

$150 USD in 3 dias
(68 Comentários)
7.3
natgeo

"I have thoroughly read your project brief and project requirements". Please see PM. Thanks

$50 USD in 3 dias
(117 Comentários)
6.9
jsinfoway

Lets get it done.. Thnx JSI Team

$30 USD in 0 dias
(79 Comentários)
6.6
SoftSandila

"I have thoroughly read your project brief and project requirements" regards imran

$99 USD in 2 dias
(57 Comentários)
6.4
webphpworld

please check my PM.

$120 USD in 4 dias
(55 Comentários)
6.4
lnj2008

I have thoroughly read your project brief and project [url removed, login to view],check PM.

$70 USD in 5 dias
(15 Comentários)
5.1
YashpalSingh123

"I have thoroughly read your project brief and projet requirements "Expert Computer Engineer, in Ajax/JavaScript, Can Start Work on Immediately effect.

$200 USD in 5 dias
(13 Comentários)
4.8
jobokoth2

Hi! I have thoroughly read your project brief and project requirements. I'm a PHP/MySQL developer with over 7 years experience. I hope you will consider me for this project.

$250 USD in 14 dias
(4 Comentários)
4.7
subratparida

"I have thoroughly read your project brief and project requirements" My name is Subrat Parida. I'm the owner of CADS Inc (Computer Applications & Database Solutions Inc) is located in Bhubaneswar, India. I have Mais

$200 USD in 5 dias
(9 Comentários)
4.7
hgtechsolutions

hi please check pmb

$100 USD in 5 dias
(12 Comentários)
4.2
MsZola

Hi, please see the private message

$100 USD em 1 dia
(2 Comentários)
3.0
kumaravasthi

Hi, Greetings. I have thoroughly read your project brief and project requirements. I am a very serious bidder and the proof of that is not first line. I can finish the job within given timeframe and amount. Mais

$75 USD em 1 dia
(5 Comentários)
2.5
livin2dream

Ready to work, see PMB for more details

$100 USD in 3 dias
(1 Comentário)
2.0
avatarzhang

I have thoroughly read your project brief and project requirements. Your requirements our concern!

$100 USD in 3 dias
(2 Comentários)
1.2
rajaranajitlove

sir, i can do your project...

$60 USD in 2 dias
(3 Comentários)
1.1
mjgiustino

I am new to get a freelancer site, but am a professional with over ten years of web experience. My most recent employer for the past year was [url removed, login to view] a 40k+ member site. I can complete this job with the proper c Mais

$120 USD em 1 dia
(0 Comentários)
0.0
mehul29071987

"I have thoroughly read your project brief and project requirements" Serious bidder with solid experience in web development at your service. Please check PMB for samples of my portfolios and lets start.

$40 USD in 2 dias
(0 Comentários)
0.0
thehostgod

I can do this for you.

$100 USD in 5 dias
(1 Comentário)
0.0
ericvb

I have thoroughly read your project brief and project requirments. We would use php. Please see PMB.

$250 USD in 2 dias
(0 Comentários)
0.0