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Add form with auto Response and Banner to page

I need a web designer to add a form where people can sign up to receive a gift. This is a quick job I just don't have the time to do it by 12/29 so here it goes.....

Requirements:

1. You will need some graphic design skills so you can design a banner for the front page

2. Develop Fill in/Registration form for after the user clicks on the banner. (Name, Address, Email, etc)

3. Email update is sent to Applicant to say thank you for registering and gives them an ID Number sends it to our email to notify us someone has signed up

After Registration:

4. They come back to the website enter their ID and receive their gift online and we send notice that it has also been put in the mail

5. We can also email them and let them know their gift is online

Send samples of sites you have done. If you have no samples I will not respond. This should be a quick project so don't complicate it.

Keahlian Desain Grafis, HTML, PHP, Desain Situs Web

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Tentang Pemberi kerja:
( 4 ulasan ) Canal Winchester, United States

ID Proyek: #1360517

9 freelancer menawar pada rata-rata $149 untuk pekerjaan ini

mindblowcreative

Our goal is to exceed the expectations of every client by offering outstanding designs, increased flexibility, greater value in development, thus optimizing system functionality and improving operation efficiency.

$650 USD dalam 9 hari
(41 Ulasan)
7.6
medi01

Please check pm.....

$130 USD dalam 5 hari
(134 Ulasan)
7.2
Linkbuild

Thanks for your post, kindly have a look on our PMB.

$270 USD dalam 6 hari
(39 Ulasan)
6.4
TheShannat

Hi, We expertise in creating high end websites and landing pages with form options. This is a straightforward job for us and we can get it done exactly. Please check our sample works in PMB. Thanks.

$140 USD dalam 1 hari
(28 Ulasan)
5.3
santanusingha

We are very much eager to work on your project. Kindly check out Private msg and start chatting with us.

$200 USD dalam 5 hari
(37 Ulasan)
5.3
eClickApps

Dear Sir, I have checked your proposal and I am interested to work with you. Please check the PM.

$220 USD dalam 1 hari
(25 Ulasan)
4.8
pundoravikas

-----PLZ CHECK PERSONAL MESSAGE FOR MY PORTFOLIO---------- Hello sir i am an experieneced web developer with excellent PHP,MYSQL,AJAX, and JQUERY skills.I have underestood your requirements. I am ready to work for you Lagi

$101 USD dalam 7 hari
(15 Ulasan)
4.1
gtplcu

hello sir, please chk pmb

$200 USD dalam 4 hari
(0 Ulasan)
0.0
HUSSAINATIQ

just consider me i will do that regard atiq.

$150 USD dalam 5 hari
(0 Ulasan)
0.0
vkbansallx

eager to start working on your project. kindly send the details of the form/s to be filled up , so that i can start. It is actually worth 1000 USD but because of the competition I am biding low. regards

$100 USD dalam 30 hari
(0 Ulasan)
0.0
likas

Can help you . Please consider me.

$100 USD dalam 1 hari
(0 Ulasan)
0.0