Rebuild a web form and database

We're looking for someone who can fairly quickly rebuild this web form. (1-2 days) [url removed, login to view]

- It's a Dynamic form, based on answers it will display less or more questions.

- It's multi lingual, all texts, fields, header and backgrounds need to flexible and changeable per language (7+ languages)

Preferably we're looking for someone who can build this in PHP with a logical and secure database behind it (in MySQL or similar), providing easy data export.

The form must have these fields (this is different from the current version):

- First Name

- Last Name

- Country (with type and AJAX loading of countries based on what you type)

- Email address

- Date of birth

- Gender

- What product did you buy (EAN code + Product title: actively needs to live search in a 10.000+ product database, autofill, and display product name after completing the field).

- Gender of the recipient

- Date of birth of recipient

- Subscribe to email newsletter

- T&C acceptance

** All fields must be validated and have correct data.

** The customer gets a copy of it's data per email, we also get a copy of the data per email.

** Data must be registered in English in the database for easy formatting, even if it's from another language. So [male] and [female] if for example [femelle] is entered in French.

Budget is around $150.

Habilidades: MySQL, PHP, Teste de Website

Veja mais: access database form web page, sending form data database visual web studio, creating database form visual web express, php, mysql, css, html, website design, bootstrap, psd to html, angular.js, web development, jquery, php web mysql database form, mysql database php web form, sample product order form web development, expressions web database form, html form web database javascript, accessing sql database aspnet web form using, software database driven web applications

Acerca do Empregador:
( 7 comentários ) Hattem, Netherlands

ID do Projeto: #13604001

Concedido a:


Bid Summary Hello sir as discussed please award me this project and create milestone

€166 EUR em 7 dias
(26 Comentários)

73 freelancers estão ofertando em média €156 para esse trabalho

€154 EUR in 3 dias
(292 Comentários)

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

€237 EUR in 10 dias
(377 Comentários)

ABOUT US "IT FLEX SOLUTIONS has focused exclusively on the Web Development/Designing projects with 10+ years of service. Our Web Development/Designing expertise has helped clients to create e-commerce, social networki Mais

€250 EUR in 3 dias
(207 Comentários)

Sure, we can do, lets discuss once. You can Check our review 100% result and we are preferred freelancer. We like to maintain for long term basis so we will give our best service.

€250 EUR in 7 dias
(188 Comentários)

We're a Pvt. Ltd. company based in New Delhi, India with more than 8 years of experience on Website designing and development . We've gone through your project details and can do this task efficiently and accurately Mais

€157 EUR in 3 dias
(140 Comentários)

HI My Notion : "No Satisfaction, No Payment" We have expertise in Web Design & Development. Please check our client reviews on Elance to determine the quality of our work.: Lets discuss in detail and start now? Mais

€246 EUR in 3 dias
(108 Comentários)

Hi, I can start work on your project immediately once you confirm me and i am also open for further discussion if you want. I have 7+ years in web designing & development with good experience in following skills Mais

€200 EUR in 3 dias
(83 Comentários)

Greetings! Please share the requirement document to understand the project better. We are an experienced team with in-depth knowledge of [login to view URL] main skills include Laravel,PHP,Magento,Wordpress, HTML, CSS, Pho Mais

€160 EUR in 2 dias
(68 Comentários)

Dear Client , We gone through project description We are Really interested to do work with you , We are Web & Software development company having more than 8 year experience in Software development we totall Mais

€200 EUR in 3 dias
(181 Comentários)

Hello, i can do this in no longer than 2 days But, i have a couple of questions: My deliverable will consist in 1 form for each language? how is that going to be handled? The lookup for those 10.000 records.... tha Mais

€166 EUR in 2 dias
(124 Comentários)

Hello, I've made multiple forms in this way and I am ready to start by making you a free demonstration, hire me once you're satisfied with the demo, I am ready to start on it right now thank you. Your satisfaction is Mais

€150 EUR in 2 dias
(145 Comentários)

Hi, Please let me know if you are available, I will show you demo of similar project, front end and backend system. Please check my profile : I am a full stack web developer from Poland, I have 5+ years of Mais

€222 EUR in 4 dias
(31 Comentários)

Hi There, Ready To Start now. I have 4+ years experience in PHP as well as Wordpress, Magento,OpenCart, Prestashop, OsCommerce….and also in responsive CSS3, bootstrap, html5 . etc You can check our work http://www Mais

€150 EUR in 2 dias
(182 Comentários)

Bid Summmary please contact me over chat and get list of my already done that kind of projects.. i am waiting for your kind response ..

€155 EUR in 3 dias
(120 Comentários)

Greetings from Webs Cybernetics!! My name is Yogesh Sanwal, We read your project description very carefully however it was not that long. :) Take a look to my last work: [login to view URL] http://ch Mais

€166 EUR in 12 dias
(165 Comentários)

Hi Greetings!! If you are looking for an Energetic Web [login to view URL] , I am here to help you.I had the experience from last 8+ years. PHP, SQL ,WordPress, joomla, Woocommerce, Big-commerce, Shopify, Bootstrap, HT Mais

€200 EUR in 3 dias
(64 Comentários)

Hi from [login to view URL], Thanks for sparing time on my bid, please check some working projects have Design Responsive-- [login to view URL] [login to view URL] http:/ Mais

€130 EUR in 3 dias
(133 Comentários)

Hii I have checked this form, Yes i can create this form and save this details in the database, You can see this details in the admin panel also Yes i will create this form and database in the custom PHP, MYSQL, Aj Mais

€200 EUR in 3 dias
(108 Comentários)

Hi, I have developed 100+ mobile application and 200+ websites and web application. I am experienced and hard-working developer with deep knowledge of Android, Java, AngularJS, Ionic, Cordova/phonegap, Meteor, Codei Mais

€155 EUR in 3 dias
(101 Comentários)

Hi, I check our current form and we can develop perfect form with database based with listed fileds. Check our previous form work - [login to view URL] We are having Mais

€183 EUR in 15 dias
(47 Comentários)