landing page form

I need someone to edit a landing page template form and have 2 versions of the form.

1- Show full form with all fields.

2- Show 3-steps with completed percentage eg. [url removed, login to view]

It is important to include the 2 points same as the example above "Your privacy is important to us and Hacker safe".


- The landing page must remain responsive.

- form height can exceed main image like example above but consider filling the space under main image on left side with the section "our services" and not keep it empty.

Title: Learn More

Text: same as template "Just fill-in the form below and we will get in touch with you as soon as possible."

in Italic and smaller text: "This will only take a minute!"

Radio button:

Please select:

option1 - I am interested in a master's degree program and would like more information.

option2- I am a job seeker and would like to apply for a vacany.


if option1 selected Continue button appears to take visitor to another URL.

if option2 selected:

Full form: The rest of fields below appear.

in Multi step form:

----------------- NEXT STEP

Dropdown select: Which program most interest you?

radio button: Have you taken any of the following English Language Proficiency Test?

(TOEFL/IELTS/PEARSON-Academic, Cambridge English: Advanced Test, City & Guilds-IESOL or EmSAT Achieve English)

- Yes or No

------------------ NEXT STEP

text: FullName

email: Email

number: Mobile

dropdown select: Nationality

dropdown select: Country of residence

text: City name

all inputs are required. use same error reporting in template for fields that require


Please note there are hidden fields that i would like to include also, these hidden fields will extract information from url parameters and should be included in the email submission received:

hidden fields:

- source

- medium

- campaign

- term

Habilidades: CSS, Javascript, PHP

Veja mais: landing page form database, landing page form script, web landing page form, landing page form design, landing page form linux, landing page form templates, flash landing page email form, making pdf form landing page, form landing page, landing page form graphics, html form landing page, php form landing page, page landing page form template, price landing page form, landing page form

Acerca do Empregador:
( 61 comentários ) Amman, Jordan

ID do Projeto: #14817156

Concedido a:

$85 USD em 2 dias
(400 Comentários)

44 freelancers estão ofertando em média $73 para esse trabalho


Hi I work towards providing reliable, relevant and robust IT solutions at most competitive prices to my customers. I ensure 100% customer satisfaction so lets start Thanks Relevant Skills and Experience CSS, Javas Mais

$195 USD in 7 dias
(377 Comentários)

Well, have a good day and hope you are doing great today, and yes, we have read the project description and yes, we are ready for it. Relevant Skills and Experience We have a huge team of professional. And we are expe Mais

$80 USD in 2 dias
(134 Comentários)

HI My Motion: "No Satisfaction, No Payment" We have expertise in Web Design & Development. Please check our client reviews to determine the quality of our work. Let’s discuss in detail and start now? I am c Mais

$69 USD in 2 dias
(91 Comentários)

Hi, I have designed/developed many web applications for my clients around the globe from past 7 years also well versed in HTML, CSS, XHTML, JavaScript, WordPress, MySQL, PHP, Website Design etc. Relevant Skills and E Mais

$100 USD in 3 dias
(118 Comentários)
$72 USD in 10 dias
(82 Comentários)

We r ready to start immediately. Let us know.

$60 USD in 4 dias
(192 Comentários)
$74 USD in 2 dias
(138 Comentários)

Hi, Your job posting has caught my attention and I am keenly considering your job post. I have excellent experience in Mentioned skills. **NO UPFRONT REQUIRED ,PAY ME WHEN YOU SATISFY WITH MY WORK Relevant Skills and Mais

$72 USD in 10 dias
(52 Comentários)
$72 USD em 1 dia
(126 Comentários)

Hello, Sir, Meet Experienced Website Designer and Developer, I have in more then 11 years experience. I am ready to start your project right away. I promise you will get good and quality work from me. Relevant Skills Mais

$80 USD in 2 dias
(99 Comentários)

Hello, I have a 5+ working experience in WordPress Theme development and have developed number of Responsive WordPress Themes in my career from scratch from PSD to WORDPRESS or Creating mockup of the website like redes Mais

$72 USD in 10 dias
(70 Comentários)
$72 USD in 10 dias
(62 Comentários)
$80 USD in 10 dias
(60 Comentários)
$72 USD in 10 dias
(66 Comentários)

Dear Client, We are expertise in php, core php, CMS, HTML5, CSS3, bootstrap, WordPress, PSD to HTML, Angular JS, Node JS photoshop, OPencart, Codeignitor, Laravel and many other technologies. Please have a look Mais

$72 USD in 10 dias
(51 Comentários)
$72 USD in 10 dias
(8 Comentários)

Hello! As a talented web developer, I would like to work with you for this project I have rich experiences for website design and php, javascript,jquery, json, css, html, wordpress, Wix, responsive design, etc... Mais

$80 USD in 10 dias
(36 Comentários)

hello i am with 7 years experience in PHP, angular node and mongodb WordPress, WP pluagins,. expertise in the 3rd party API , shopping engines, [login to view URL] [login to view URL] Relevant Skills and Experi Mais

$72 USD in 10 dias
(82 Comentários)
$66 USD in 2 dias
(67 Comentários)
$81 USD in 2 dias
(58 Comentários)