Develop a HTML form, entering ten rows, each one with the fields required by the client (first name, last name, email, phone, Zip, y/n, y/n). All the data should be validate.
Relevant Skills and Experience
I can develop with: HTML5, XHTML, CSS3, Javascript, Regular Expression, MySQL, MariaDB, Python, Django Framework, Relational database, Bootstrap
Proposed Milestones
$50 USD - Project start
$61 USD - Completed work
Additional Services Offered
$100 USD - Users administration interface (login, admin area, user area)
$50 USD - Send email option
$50 USD - PDF download
$50 USD - Public interface to show all records
I have free time to develop on this application. Please send me a private message, I'll tell you more about my experience. Thank you!