Online Support Form

Need a Javascript/XML/HTML/or PHP with MYSQL or database backed (Whatever is feasible) online technical support form built with some logic into it. I want it to be able to display options based upon the field they choose. I.e If a service request is needed then the options for a service request is then displayed below, else if a problem option is choosen the options for problems are displayed. (Display a different text field when a different radio button is clicked.) I Will need some of the field grabbed from a sample MYSQL database with about 4-5 tables. Attached is rough flow chart, with the logic and fields. Some of the fields will be filled automatically (grabbed from database) such that when a user fills his username, it grabs the rest of the information from the database such as his first and last name, location, e-mail from the database e.t.c and then proceeds with the Questionaire of his issue (Problem/ Service).

This will include the front end design of the form. I will provide the graphic and some links to be placed on the page.

Habilidades: Javascript, Perl, PHP, XML

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Acerca do Empregador:
( 37 comentários ) Norcross, United States

ID do Projeto: #101245

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Dear Sir/ Madam, Our team has taken a close look at your requirements and has come up with a solution with most competitive bidding rates. This bid is for a highly professional and quality work/service that we render t Mais

$75 USD em 1 dia
(176 Comentários)

8 freelancers estão ofertando em média $85 para esse trabalho


Valueonweb is a customer-specific service oriented company has got an Professional and creative team. We are the Professional Web Development Company having 3 years experience in Web design and development. We have exp Mais

$100 USD in 10 dias
(213 Comentários)

WE can do it. Thanks.

$60 USD in 7 dias
(38 Comentários)

Please check the PMB. Thanks.

$100 USD in 2 dias
(4 Comentários)

The scheme is quite clear. We can do it.

$100 USD em 1 dia
(7 Comentários)

Hello! Please check your PM.

$80 USD in 4 dias
(4 Comentários)

Hi, seen the flow chart and document. I Can do this Regards Vineet

$91 USD in 4 dias
(3 Comentários)

Please check ur PM

$70 USD in 5 dias
(0 Comentários)