Custom Web Form To Email With Multiple Attachments

Ditutup Dipasang Nov 17, 2010 Dibayar saat pengiriman
Ditutup Dibayar saat pengiriman

We are in need of a form page that is capable of both sending all the listed information below to us via email and also storing it in a simple, localhost mysql database. We use a hosting solution that is capble of using either cgi or php, and can also use a pop/smtp account or sendmail to send and receive these emails.

The most important part of this form is the attachments, and we would like to limit the total attachment file size to 10MB.

The information we require is:

First Name

Last Name

Gender

Goal (will provide options)

Age (will provide options)

Email Address

Phone Number (3 boxes that compile to 1 value in email)

Address 1

Address 2

City

State / Province (with current, complete abbreviations for US & CA)

Zip Code / Postal Code (with current, complete abbreviations for US & CA)

Country

Large Text Box (500 words)

Attachment 1

Attachment 2

Attachment 3

Attachment 4

Attachment 5

Attachment 6

Check Box (if unchecked, submit button returns pop up notice that they have not aggreed to the rules.

Submit button

HTML MySQL PHP Desain Situs Web

ID Proyek: #857033

Tentang proyek

16 proposal Proyek online Aktif Dec 24, 2010

16 freelancer rata-rata menawar $99 untuk pekerjaan ini

jexplorer

Lets get it done.. jExplorer

$90 USD dalam 2 hari
(198 Ulasan)
7.5
freeworks

Please check my PM

$100 USD dalam 1 hari
(233 Ulasan)
7.2
AStonetech

Please have a look at INBOX for work detail.

$50 USD dalam 1 hari
(182 Ulasan)
6.9
Joopo

Hi, I can create your form for you. Please see PM

$50 USD dalam 1 hari
(48 Ulasan)
5.8
youspaze

Let's start! Check PM for details!

$150 USD dalam 3 hari
(51 Ulasan)
5.8
ta3k

see your pmb please

$80 USD dalam 1 hari
(49 Ulasan)
5.1
kun01

Get it done perfectly the first time. Please check my PM.

$90 USD dalam 1 hari
(54 Ulasan)
5.4
OccamsRazor

Please see your PM for additional details. Thank you.

$100 USD dalam 1 hari
(14 Ulasan)
4.8
draco003

### PHP/MySQL experienced Coder ### refer to PM for details and a DEMO ;)

$150 USD dalam 2 hari
(15 Ulasan)
4.3
seuser

Please see private message.

$100 USD dalam 7 hari
(3 Ulasan)
3.2
amsak

Placing bid

$50 USD dalam 14 hari
(7 Ulasan)
3.6
gnometech

Hi! We are interested in your project. PFA resume of the two developers who might suit your requirement. There are no initial milestone charges & payment would be done on each subsequent milestone achieved. The d Lebih banyak

$150 USD dalam 3 hari
(1 Ulasan)
1.4
EngrUmarQureshi

i have recently completed online result management system using PHP and MySQL and im very good with them and having grip on flash also. i can do this job at even low price because i want to start my career at freelanc Lebih banyak

$150 USD dalam 10 hari
(0 Ulasan)
0.0
cpromaster1

Hi. I can finish it as your requirement Please check PM.

$30 USD dalam 2 hari
(0 Ulasan)
0.0
imastudentofpugc

I can do this project.

$150 USD dalam 7 hari
(1 Ulasan)
0.0
nikitronik

Hello, please check PM.

$100 USD dalam 1 hari
(0 Ulasan)
0.0