Project Detail

Simple Form for Website  

Simple Form for Website is project number 541261
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Status:

Selected Providers: ichurakov

Budget: $30-250

Created: 11/02/2009 at 1:37 EST

Bid Count: 67

Average Bid:
$ 65

11/04/2009 at 1:37 EST

Project Creator: mikedovey
Employer Rating: 10/1010/1010/1010/1010/1010/1010/1010/1010/1010/10 (2 reviews)

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Description

This project is being re-posted after it was postponed a month ago.

Our website www.regalmark.com.au needs to have a new form built.

Leading up to Christmas, we are giving out a lot of marketing material to the public and we are giving out a lot of Promo Codes. The purpose is to have people come to our website, provide us their first name and the email address, so that they can check the value of their promo codes.

Each promo code is worth a different amount of money which can be used when making a purchase. The promo codes are as follows:

awesome gift = $5
happy gifting = $5
Gift 4 U = $20
Gifts 123 = $50
Regal Gifts = $100


So what we need is a basic form that takes the customers name and email address and then shows them the value of their promo code after they enter it. So the form should have three fields:

1) First Name

2) Email Address

3) Promo Code

Once they enter these three fields and clicked submit, they should go to a page that tells them the value of the code. For example:

"Promo Code = $5"

Only the text would be in red.

All the information on the form should also be emailed to our email account.



PLEASE NOTE:

We only require the form to be created on its own. We do not need it to be built into the site. Once we have the script for the form, we will have our webdevelopers place the form on the site.

If you can have the form look as close to possible to the attached image, that would be great.

We do not mind which langauge the form is in... as long as it works.

The two images attached show exactly what the form should look like and how it should work. Please let me know if you require any more information.


Additional files submitted:
Promo%2520Code%2520%28before%29.jpg
Promo%2520Code%2520%28after%29.jpg

Messages Posted:0 View project clarification board Post message on project clarification board

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50

1 day

11-02-2009 13:48 EST

Hello, I am ready to start right now

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100

1 day

11-02-2009 08:25 EST

I am exited to do this simple form for you

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175

2 days

11-02-2009 02:24 EST

Hi! I am really interested in taking up the project. I have the requisite experience and the expertise to complete this project with success. Please view my PM for details. Thanks. Regards. GLOBAL TECHNOSYS

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100

1 day

11-02-2009 01:43 EST

Hi Have Gone through your requirement and understood, we are very sure that we can do your needs with your entire satisfaction. We have left a PMB for you plz feel free to have a look over there. Thnx JSI Team

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230

0 days

11-02-2009 02:24 EST

I can offer my high quality programming services to you. Please contact if interested.

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60

0 days

11-02-2009 01:50 EST

Quick work, can be provided in few hours. Kindly check PM for more details

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86

1 day

11-02-2009 08:32 EST

have a glance at Pm. Regards,

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30

0 days

11-02-2009 02:46 EST

Please check PM. Thnx.

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50

1 day

11-02-2009 05:38 EST

please view pm

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80

1 day

11-02-2009 07:32 EST

Sir I can do the work within a day. I hope you will give me chance to work with you. Please check your PMB for more details. Thanks

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80

1 day

11-02-2009 01:48 EST

please check my PMB

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100

1 day

11-02-2009 03:48 EST

Dear Customer! I am an expert PHP/MySQL developer with over 6 years of experience and very interested in your project. Ready to start immediately and finish as soon as possible. My bid is for fast professional service exciting my customers. Please contact in PMB to discuss details. Best Regards, Zeke

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30

1 day

11-02-2009 02:30 EST

I can do this very well.

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40

0 days

11-02-2009 12:04 EST

Hello. Please check your PM. Thanks.

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30

0 days

11-02-2009 03:23 EST

Few hours job, let's start ~

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45

2 days

11-02-2009 04:09 EST

Please view PMB. Thank you.

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135

3 days

11-02-2009 04:53 EST

Hi i can do it Plz check PMB

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30

0 days

11-02-2009 02:34 EST

Dear Sir, Plz check PM. Very Interested. Thanx, Apollo.

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69

1 day

11-02-2009 03:50 EST

Please check PM

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50

0 days

11-02-2009 21:30 EST

Hello! i'm Toan i'm expert with design, php code, php , php opensource ( joomla,woodpress,opendCart,Zencart,Magento,payment setting)framework(codeIgniter,cakephp) psd xhtml, css validate with w3c, javascript, jquery js ,ajax. .net code 2.0 or 3.5 linq to sqlserver, ASP.net MVC, desktop application(vb.net,C#) i'm hopping and hearing from you. thank you.

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50

1 day

11-02-2009 04:57 EST

Hi, thanks for providing detailed description of your requirements. Please check PM for bid details. Thanks

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80

3 days

11-02-2009 03:48 EST

Ready to work! Thanks!

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30

0 days

11-02-2009 04:10 EST

Hello sir i am an experienced programmer, i will do your form within a day may be within hours, i will use XHTML/CSS/PHP/AJAX , Jquery and AJax to make it more interactive, Please have a look at PMB. Thanks

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40

1 day

11-02-2009 09:28 EST

See PM for details.

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200

1 day

11-02-2009 03:16 EST

Hi this is web developer with 8 yrs experience. I can do this job very easily. Please let me know if you are interested to give this job to me. Regards Rajeev Munjal

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30

0 days

11-02-2009 02:12 EST

Ready to start right away. Please refer PMB. Thanks.

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100

2 days

11-02-2009 05:59 EST

Please see PMB

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30

1 day

11-02-2009 07:30 EST

Hi, i can do it for you, with desired design

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30

1 day

11-02-2009 09:33 EST

Hi, let's start.. Please check PMB. Thanks

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175

10 days

11-02-2009 12:14 EST

Please refer our portfolio mentioned in PMB

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30

0 days

11-02-2009 03:34 EST

Hi, Lets do it! Please see PM, Regards

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80

0 days

11-02-2009 03:15 EST

Hello, I am a BrainBench certified Master of Web Design with very strong SEO, W3C and security skills plus lots of experience with Joomla. Please see www.cubbysartstudio.com, www.explorersguidellc.com(upgrade from 1.0), www.pentecostfl.org or www.longislandbiz2biz.com(upgrade from 1.0 with four thousand members) for latest Joomla project examples. I am normally available Tuesday through Friday 10am to 6pm EST (-5GMT) via Skype, Yahoo, MSN, AIM, Google and telephone. After hours I maintain an emergency support toll free hotline that is answered 24 hours a day 7 days a week by an expert who can solve any problem you may encounter. I use a server monitor that emails me and the client the instant a client's site goes down or comes up on error. I guarantee all my work to your 100% satisfaction. My full portfolio and complete details of my skillset can be viewed at www.eclecticeasel.com. Unlike many of the "PRO"s on GAF I can and actually do perform all the work contracted for myself instead of farming it out for less money than you paid ensuring you don't get your money's worth from the developer who performs the work. I am also able to provide hosting - $69 per year for unlimited storage space and bandwidth with no setup fee. The hosting I offer provides the value added of personal technical support 24/7 that is only a toll free call away. Visit www.claywebhosting.com to sign up and get instant activation. I look forward to earning your repeat business. Warm regards, Terrance W. Arthur

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80

0 days

11-02-2009 03:32 EST

We can code this in 2 hours but to "have the form look as close to possible to the attached image" need extra hours. We will deliver in 5 hours. Thanks

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40

0 days

11-02-2009 02:21 EST

I can do the form right now. Please see the PM.

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50

1 day

11-02-2009 06:21 EST

Can be done in a couple of hours. Lets start now!!

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30

2 days

11-02-2009 04:26 EST

Hello, I'm interested in working on the form. I have looked at the images you attached with the project. Thank you. Ketan Kulkarni

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30

1 day

11-02-2009 21:04 EST

I can do this.

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60

2 days

11-02-2009 22:30 EST

Please check your PMB.

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30

0 days

11-02-2009 10:14 EST

(No Feedback Yet)

Please check PM

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30

1 day

11-02-2009 01:53 EST

(No Feedback Yet)

Please Check the PMB

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80

1 day

11-02-2009 01:56 EST

(No Feedback Yet)

3 Years Experience covering both the programming and managing. I understand your requirement, I can able to do this with in 1 Business day. Skills: PHP MySQL AJAX, XML, OSCommerece Payment Gateway Integration

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30

3 days

11-02-2009 01:57 EST

(No Feedback Yet)

I can do it fastly for you.

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80

2 days

11-02-2009 02:11 EST

(No Feedback Yet)

We can completed the task in 2 days. We will charge $5 per hour.

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250

6 days

11-02-2009 02:27 EST

(No Feedback Yet)

HI This is Stuty from Webtek Labs.Webtek is an Independent Software Testing company.However,we have skill sets in Java.And can provide quality and timely dlivery. Thanks Stuty

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45

1 day

11-02-2009 03:15 EST

(No Feedback Yet)

Dear Buyer, Greetings. I have looked at the design images that you provided here. I can do the task exactly the way you wanted to be. My bid is a fair bid (in my view) on your as well as my part. Please consider my bid and let me know if I may help you in anyway. Thanks and regards Pankaj Avasthi

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100

1 day

11-02-2009 03:23 EST

(No Feedback Yet)

Please Check PM!!!!

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80

2 days

11-02-2009 04:02 EST

(No Feedback Yet)

Hi Let's start ...I'am ready to work

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40

1 day

11-02-2009 04:19 EST

(No Feedback Yet)

No big explaination ,Its a 3 hr job for me with same look and feel and with the javascript function which your developer can call and simply add the screen in the existing web site. Plz let me know ASAP.

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50

2 days

11-02-2009 04:20 EST

(No Feedback Yet)

Hello, I am a Chandan. I have more than 7 years of exprience in web based application. I can complete this work within 2 days. Thanks

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31

1 day

11-02-2009 04:27 EST

(No Feedback Yet)

I m ready to work with you.

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45

1 day

11-02-2009 06:36 EST

(No Feedback Yet)

We will build it for you on demand.

help

 

50

2 days

11-02-2009 06:20 EST

(No Feedback Yet)

we can do it.

help

 

30

1 day

11-02-2009 07:26 EST

(No Feedback Yet)

Hello Sir , I did the similar aaplication for you , Please check Personal Message (PM) for more details.

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199

7 days

11-02-2009 08:06 EST

(No Feedback Yet)

JEFFREY K. MAYER Portfolio: http://www.jme1.com/portfolio.html References: http://www.jme1.com/references.html Web Designer/Developer with over ten years experience in web site design, graphic design, coding and testing web applications. Excellent written and verbal communication skills. Results-driven designer with expertise in the following areas: ADO ADO.NET Adobe Acrobat Professional Adobe Captivate Adobe Photoshop Adobe Premier Elements ASP ASP.NET Crystal Reports CSS Dreamweaver Fireworks Flash FrontPage HTML Javascript MS Access MS Excel MS Powerpoint MS Word MYSQL Oracle PHP SEO Sound Forge SQL SQL Server VBScript VBA Visual Basic Visual Basic.NET Wireframes XHTML XML XML.NET * Looking for a telecommuting situation due to disability.

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30

1 day

11-02-2009 08:57 EST

(No Feedback Yet)

Will be done fast and accurately. PM me for any details.

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60

1 day

11-02-2009 08:59 EST

(No Feedback Yet)

Will code it asap and deliver. Also, would help you integrate the code into your current system.

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30

1 day

11-02-2009 09:30 EST

(No Feedback Yet)

Hello. We can develop this form for you with the design shown on you pictures. Delivered fast and working. This would be an easy project. We have great experience developing software and are looking forward to work with you. You will get the best quality piece of software.

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30

1 day

11-02-2009 10:06 EST

(No Feedback Yet)

We can do this for you today.

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30

1 day

11-02-2009 10:14 EST

(No Feedback Yet)

hi, i can do this form. Check pm for more details.

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30

0 days

11-02-2009 10:42 EST

(No Feedback Yet)

interested please check PMB

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60

1 day

11-02-2009 12:15 EST

(No Feedback Yet)

Dear Mikedovey, I'm working 4+ years as a web developer. I have a form which looks like yours. I'm interested to work with you on this project. Best Regards!

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30

1 day

11-02-2009 13:37 EST

(No Feedback Yet)

Hi, I can do it in next 24 hour in the exact way you wanted. I am located in San Jose, CA.

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30

0 days

11-02-2009 14:12 EST

(No Feedback Yet)

Hello, I'm an experienced programmer based in the UK. This is a rather simple project. You just have to do the form, which I can actually cut from the images you provided and create a simple PHP script to get the values and return the promo code. I can do this really fast and make it very easy for you to implement into your website. If you choose me you can implement the form in your website just by adding an extra line of code : Please contact ASAP as I have other projects to attend to and need to see where I can fit yours in my schedule. Thanks.

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30

1 day

11-02-2009 15:02 EST

(No Feedback Yet)

Please see PM

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30

0 days

11-02-2009 15:51 EST

(No Feedback Yet)

I found your project interesting so I already coded it. Please check the PM for the LINK TO THE FORM. If you like it I will give you the script INSTANTLY.

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40

1 day

11-02-2009 16:25 EST

(No Feedback Yet)

I can do it quickly.please contact me

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50

2 days

11-02-2009 18:17 EST

(No Feedback Yet)

Hi, Could you please check your PM.

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