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Customized php contact form

For an holiday houses website I'm looking for a contact form with classic field like name, surname, date, etc but also with a multiple choice field where users can choose not only one from many options but more then one (in order to allow the users to creat a list of his whishes from the options list).

Has to be a validation form and once filled and sent has also to send an automatic answer (in html format) to the user email address.

An example of what I'm looking for is in the contact form (click to open it at top of page) of this page:

[url removed, login to view]

Hoping it's clear (I'm not english mother lenguage).

Best, Gianni

Some more details:

Html new template wich the form will be part has been builded with bootstrap.

Link I indicated in the main description is at the old version of the website we are bulding new, so we need a form with basically the same fields but working responsive.

Form will be translated also in italian and german, so datepicker in the date fields has to be also in italian an german.

Ικανότητες: HTML, PHP

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Σχετικά με τον Εργοδότη:
( 1 αξιολόγηση ) Frankfurt am Main, Germany

Ταυτότητα Εργασίας: #15880928

70 freelancers are bidding on average €141 for this job

wpoppo

Hello Gianni, Thanks for giving me the opportunity to discuss your project. I have read the job description, as per the need you wish to create a contact form and add some fields exact similar to reference websit Περισσότερα

€250 EUR σε 5 μέρες
(166 Αξιολογήσεις)
8.1
extreamcode

HI There, I can assist you with "Customized php contact form", I have experience working with "similar Development". Let's have a quick chat to discuss it further. I have been in this "Development" field for a lo Περισσότερα

€155 EUR σε 3 μέρες
(82 Αξιολογήσεις)
7.6
rsdsoftsl

Hi. I looke dat .[login to view URL] contact form and understand what you mean. You need options similar to "Choose Owners" there. Do you have some simple contact form already or to create from scratch? Ready to Περισσότερα

€180 EUR σε 2 μέρες
(292 Αξιολογήσεις)
7.4
deepakdiwan

Hello Gianni, I have 5 Year of experience and perfection in Php ,Mysql, Photoshop, HTML5, CSS, Javascript, MySQL, apache, Photoshop, Internet Technologies, Google developer tools, LAMP Technologies. I can help you Περισσότερα

€201 EUR σε 3 μέρες
(145 Αξιολογήσεις)
7.2
AltiuseCreaton

Hello Giani, I can make your contact form in PHP language as per your requetsed fields and options and send automatic email to user after fillup the form. Regards Rina

€177 EUR σε 3 μέρες
(78 Αξιολογήσεις)
7.1
AMsolutions1

READY TO START!! I got that you want a contact form with auto answer. Can you please send me all the fields which you want in that form? Looking forward to hear from you. Thanks

€133 EUR σε 3 μέρες
(98 Αξιολογήσεις)
6.7
Harvey888

Hi there. Nice to meet you. I have checked your requirements carefully. I do have skills & experience that are required to complete it to a high standard. Especially I have rich experience in PHP, Javascript, Mysq Περισσότερα

€155 EUR σε 3 μέρες
(88 Αξιολογήσεις)
6.6
yogeshssanwal

Greetings My name is Yogesh Sanwal, We specialize in the creative and technical aspects of all areas in the Design / Graphic Industries. We pride ourselves on creativity, and understanding each client's individual ne Περισσότερα

€99 EUR σε 3 μέρες
(203 Αξιολογήσεις)
6.9
WebXcellance

Hello Gianni, We are really interested in your project. Please see my recent work please check my recent work [login to view URL] [login to view URL] [login to view URL] http:// Περισσότερα

€122 EUR σε 3 μέρες
(99 Αξιολογήσεις)
6.3
writer075

Hi, I understand the requirements for this project and interested to discuss more in details to start working into it. I can customize your php website contact form with multiselect option and set automatic reply on Περισσότερα

€150 EUR σε 4 μέρες
(76 Αξιολογήσεις)
6.5
TalentedGroup

Hi Sir High Level Experts are here, just reply us back and we are ready to give you 100% successful solutions. Quality and timely delivery is Guarantee. Looking forward from you Thank you

€235 EUR σε 5 μέρες
(94 Αξιολογήσεις)
6.2
dustafo

I can get this done before the end of the weekend for you, just let me know when you want me to begin.

€77 EUR σε 2 μέρες
(165 Αξιολογήσεις)
6.5
Designbackoffice

Hi, Gianni We do customize your PHP form with unlimited revisions. OUR PORTFOLIO [login to view URL] I would love to discuss your project over chat. Sincerely Regards David

€277 EUR σε 3 μέρες
(56 Αξιολογήσεις)
6.7
sauravkumar120

Hi there, I would like to explore the further possibilities of the project. I have successfully delivered over 150 projects based on web design,CMS,HTML,CSS,PHP,JS,WORDPRESS,JOOMLA etc. Relevant Skills and Experience Περισσότερα

€172 EUR σε 7 μέρες
(121 Αξιολογήσεις)
6.7
entranttechno

Hello sir, we gone through your requirement and seen that you are looking for php expert... you can check our profile to gain some confidence we are enough capable to add form to your website.. we will first design i Περισσότερα

€138 EUR σε 3 μέρες
(69 Αξιολογήσεις)
6.5
vishsoftware

I have gone through your requirements and seen your specifications that you want to customized php contact [login to view URL]'s talk about your project in details. We are 20+ people in the team having more than 12 years experien Περισσότερα

€133 EUR σε 3 μέρες
(75 Αξιολογήσεις)
6.3
superwanchiu

Hello. Nice to meet you. I just saw your description carefully. I have rich experience for PHP contact form. I can start immediately and i can satisfy you surely. I would like to discuss more about your project wi Περισσότερα

€155 EUR σε 3 μέρες
(98 Αξιολογήσεις)
6.4
imagicaworld

Hello Gianni, hope you are doing well. First no need to worry about the English, i have understood the description and i am very comfortable to work on it. I am an expert web developer and highly skilled in php. I ca Περισσότερα

€150 EUR σε 3 μέρες
(65 Αξιολογήσεις)
6.1
kawalecove

Hello sir, We are a team of 45 persons including developers and designers and all having 5-15 years of experience and till now we have developed 3500+ websites and software and 535+ applications. kindly contact me ba Περισσότερα

€133 EUR σε 3 μέρες
(63 Αξιολογήσεις)
6.2
imranfarooq21

I am a wordpress developer with more than 7 years of experience and have completed 500+ projects successfully. I will customize php contact form Kindly have a look at some of them: [login to view URL] Περισσότερα

€125 EUR σε 4 μέρες
(26 Αξιολογήσεις)
5.9