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Build HTML Form

$10-50 USD

Completed
Posted about 6 years ago

$10-50 USD

Paid on delivery
Looking for a developer who can write HTML, CSS and JavaScript. Need an HTML form designed with the following requirements. 1 - Header 3 - Sub Headers (1 Hidden) 5 - Text input fields (2 fields are required and need verification before submission. 3 read only) 1 - Text area field 1 - Check box (If the box is checked, a text area should appear below to prompt for comments. User cannot submit form if checkbox is checked but the text area is blank) 3 - Check box's that correlate to 3 of the text input fields (If checkbox is checked, user must enter text in the input field. User cannot submit form if checkbox is checked but the input field is blank) 6 - Check box's 1 - Save button (Should cause the validation to trigger) 1 - Cancel button (Should cancel form submission) 6 - Hidden read only text input fields Other Requirements: - Code should have comments - The form should be modern and have nice CSS styling (Has to be Internet Explorer compatible) - The form should be responsive, if the user shrinks the screen the form should shrink (Within reason) I will provide even more details via email or direct message. This includes acceptable colors and the labels for input fields, etc.
Project ID: 16285118

About the project

42 proposals
Remote project
Active 6 yrs ago

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hi i can create responsive html form for you.i will do it within 2 [login to view URL] me message for start work. thank you.
$35 USD in 0 day
4.6 (54 reviews)
6.0
6.0
42 freelancers are bidding on average $34 USD for this job
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Dear Client Thank you for your job posting. I have much interesting in iour job. I have 8+ years experience in Front-End Development Particularly I am strong at HTML5/CSS3/BootStrap/Media Query(Mobile Responsive). I can start right now and I'll provide high quality in a short time. Best Regards.
$35 USD in 10 days
4.9 (101 reviews)
6.8
6.8
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I have read the requested requirements. I am highly interested to make the requested HTML page. I am a professional front end developer. I have more than 5 years experience. I will make sure the best quality service.
$50 USD in 2 days
4.9 (113 reviews)
6.9
6.9
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I will create the form and will include the instruction given on that. I can start your work right now. Regards Jasmine
$45 USD in 1 day
4.9 (208 reviews)
7.1
7.1
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Hi, I have read your job description. I can definitely do it. I can give you fully responsive website design. I have done many projects using Codeigniter, php, wordpress etc. I can give you the exact what you want.
$50 USD in 10 days
5.0 (109 reviews)
6.7
6.7
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A proposal has not yet been provided
$35 USD in 10 days
4.8 (50 reviews)
6.4
6.4
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Hello I have reviewed your job scope and I am confident to provide you a suitable solution. Please message to have a discussion on the project. Regards
$20 USD in 1 day
4.6 (50 reviews)
6.4
6.4
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I would be able to create the mobile responsive form you've specified. I'm proficient in html5, css3, js/jquery, php, mysql and I have extensive experience in website development and design.
$49 USD in 3 days
4.9 (68 reviews)
6.2
6.2
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Hi, Hope you doing well.I read your project description and very confident to handle this project perfectly Let's have a discussion, negotiate costing, timeline and then we proceed Thanks!
$19 USD in 10 days
4.9 (48 reviews)
5.6
5.6
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Hello As a professional web developer, I have 8 years of experience with web development. I read your job description and I can complete your task perfectly. I am able to work right now. Regards Tong
$35 USD in 10 days
5.0 (31 reviews)
5.6
5.6
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sir,i have 5+ years experience in web-design and web-development,wordpress. I know responsive design , bootstrap framework , Html 5 , php.
$50 USD in 1 day
4.8 (102 reviews)
5.8
5.8
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Thank you for visiting my cover letter. When I read your project, it really appeals my mind. I have rich knowledge about HTML, CSS, JAVA script, PHP, various Framework, I always regard client’s opinions very important and I tried to make my UI design and Logic design very helpful for achieving the client’s goal. Sometimes, I suggested my opinions about the projects to the clients. By doing so, I can strengthen the close relationship with clients. Your project looks very similar to my previous projects and I am really eager and enthusiastic to help you. Even if you don’t hire me, if you want, I can share my ideas of UI design and Logic design based on my old experiences with you. I wish your good luck. And thanks again.
$25 USD in 10 days
5.0 (35 reviews)
5.3
5.3
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Hello Sir, hope you are fine, i am ready to Build HTML Form. kindly share more details and names of fields ?
$50 USD in 3 days
4.9 (42 reviews)
5.5
5.5
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I read your form requirements i can do this work within deadlines and can deliver you responsive design .Thanks
$20 USD in 0 day
4.8 (14 reviews)
5.3
5.3
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Dear Hiring Manager, I am good at HTML. I've created many forms similar to this one so far. Please check my client's feedback. Now I am free and ready to start right away. Kind Regards, Md. Anisur Rahman
$50 USD in 1 day
5.0 (23 reviews)
5.0
5.0
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I am a Web Security Researcher & Bug Bounty Hunter at HackerOne, BugCrowd, BountyFactory and many other Independent Bug Bounty Programs Reported Security Vulnerabilities to Google, Facebook, Twitter, TCS, DigitalOcean, Magento, Nexmo and many other Companies Listed in more than 30 Company's Hall of Fame for reporting Security Vulnerabilities and reported more than 200 Security Vulnerabilities Web Security : OWASP, BurpSuite, Kali Linux, BugCrowd VRT, MetaSploit + HTML5, CSS3 + jQuery, Javascript, Ajax + Angular JS, React JS + Website design + Bootstrap, Responsive design + PHP + ColdFusion (Fusebox, FW1) + MYSQL + Magento Development + Joomla Development + Laravel Develpment + Wordpress, eCommerce, Shopping carts + Dot Net + CodeIgniter Development + User Interface / IA, Graphic Design, Logo design + PSD to HTML + Web Security + Penetration Testing + Ethical Hacking + Linux : CentOS, RedHat, Kali Linux, Ubuntu + Windows Server + Vulnerability Assessment + Testing
$10 USD in 1 day
5.0 (95 reviews)
5.1
5.1
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Hi Dear, I can read your requirement , I am a Website developer and designer and I am complete your task with quality on time . I hope you would like my work and you will give me a good feedback which is very important to my future career. Thank , Anik
$20 USD in 1 day
5.0 (17 reviews)
3.9
3.9
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Hi i am interested in your project. I have worked on many projects in different technologies. I have used many third party libraries. So i can handle your project in time and your budget. Thanks. Relevant Skills and Experience I have worked on many projects in diffrent technologies like WordPress , cakephp, laravel, codegniter. And mai languages which i know and worked are html, css, jQuery, JavaScript, Ajax, SQL.
$30 USD in 1 day
5.0 (13 reviews)
3.4
3.4
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A proposal has not yet been provided
$35 USD in 1 day
4.9 (13 reviews)
3.6
3.6
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Good afternoon, my name is Franco, I am part of a team of programmers and designers specialized in creation and management of Web sites, we currently manage more than 500 sites in the world, so, we would be happy to collaborate with you so that your project be done in the best way. We are available for any questions, Have a great day, Regards, Franco
$35 USD in 5 days
4.9 (7 reviews)
2.9
2.9
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Hello, I can design you project as per your requirement. Message me so that we can discuss further. Thanks
$45 USD in 10 days
5.0 (7 reviews)
2.8
2.8

About the client

Flag of UNITED STATES
South Euclid, United States
5.0
3
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Member since Nov 11, 2015

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