Em Andamento

Simple literature request form

We need a form that people can request literature from our company. The form needs to look like our current site.

The fields in the form are as follows:

- Name (required field)

- Title (optional field)

- Company (required field)

- Email (required field)

- Address line 1 (required field)

- Address line 2 (optional field)

- City (required field)

- State (required field)

- Zip (required field)

Once a user submits their information it will take them to a page thanking them for requesting literature and then after 25 seconds it will redirect them to our site.

The data will be stored in a MySQL database.

You will also need to create a way that we can download the data in Excel format.

Time is of the essence, we need this to be completed immediately.

Payment will only be made once the site is complete and up and running.

Habilidades: PHP, Design de Sites

Veja mais: simple literature, simple request form, write literature request process, literature request website, simplest forms literature, free literature request forum, excel literature request form, excel database programs literature request, romania literature forum, user form, request payment, payment form, form 2 email --2, excel form, create form, simple address database excel, zip required, excel data form design, company literature, optional time

Acerca do Empregador:
( 5 comentários ) St. Louis, United States

ID do Projeto: #266194