Em Andamento

Order form for website with ADMIN controls

I am looking for someone to develop a form that will be used on a website by customers.

They will fill in the form which will have drop down boxes and areas to put in their details (I have a graphical illustration of the form page that I need)

I need:

1- a order page (this is where the form will be)

I need specific checks on the for as only specific details are allowed to be entered

I need a good admin section to control features on the form

2- a success page (the message can be changed in the admin controls)

3- I need emails sent to the customer and to and additional email addresses added in the admin control panel

4- spam filter

5- form encryption

To give you an idea of what I want im including the main details that need to be inputted

-----------------------

EMAIL ADDRESS

CONTACT NAME

ADDRESS LINE 1

ADDRESS LINE 2

ADDRESS LINE 3

TOWN / COUNTY

POST CODE

CONTACT NUMBER

DATE OF COLLECTION

CONTACT NAME

ADDRESS LINE 1

ADDRESS LINE 2

ADDRESS LINE 3

TOWN / COUNTY

POST CODE

CONTACT NUMBER

WEIGHT(kg)

I AGREE TO THE TERMS & CONDITIONS

AND CONFIRM THE SUBMITTED DETAILS ARE CORRECT

(CHECK BOX)

Habilidades: PHP

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Acerca do Empregador:
( 11 comentários ) wales, United Kingdom

ID do Projeto: #165905