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Build an HTML form using template

Hi I am looking for somebody to build me a form, as per the details of the attached word document, the black bullet points are the required fields, the red writing is information for the person who is completing the form and needs to be displayed and the green writing are development notes. The form will need to be over multiple pages, with new pages using jquery slide effects to minimise space).

Most importantly the form needs to be responsive.

I have purchased this template, which i will provide to the successful bidder, for the general style and elements of the form, including the right hand column which must feature in the design, the information here will be edited later.

[url removed, login to view]

I am a developer so now hard/easy this is to the person with the correct skill sets, i just require some assistance so i can concentrate on the programming aspect, sensible bids only please.

Навички: CSS, HTML5, Javascript, jQuery / Prototype

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Про роботодавця:
( 1 відгук ) Laindon, United Kingdom

ID проекту: #4192457

14 фрілансерів(-а) подали заявки на цю роботу; середня заявка - $118

toinnisfree

quick pro help. ftp and milestone required.

$150 USD за 2 дні(-в)
(94 відгуків(-и))
6.3
ayudeveloperssl

ready to start

$100 USD за 4 дні(-в)
(103 відгуків(-и))
5.7
rinosh

Hello If you are looking for a template I can give this in hours If need programability will take little more time I an Application Expert in PHP/.net with 6 yrs of Experience with powerfull knowledge in JQuery/Ajax Більше

$50 USD за 1 день
(12 відгуків(-и))
4.3
Champian

Let Champian handle this for you.

$180 USD за 8 дні(-в)
(12 відгуків(-и))
4.3
itdv

I read description and understood requirement, now ready to work.

$160 USD за 5 дні(-в)
(22 відгуків(-и))
4.1
samwon

hello sir, interested, i have seen your doc file, insha Allah it will be done in time. thanks

$200 USD за 6 дні(-в)
(25 відгуків(-и))
3.6
shariqkhan

Hi I am expert in CSS-XHTML, Jquery and JS. I will complete the job in two days. Thanks

$100 USD за 2 дні(-в)
(8 відгуків(-и))
3.3
cgtv

my friend , i delivery to you very fast! check my portfolio : [url removed, login to view]

$30 USD за 2 дні(-в)
(3 відгуків(-и))
2.3
tigranpetrosyan

Can start right now.

$80 USD за 2 дні(-в)
(2 відгуків(-и))
2.1
webdesginplus

We are the best for this project. Please kindly check PMB for the details. WEB DESIGN PLUS

$200 USD за 2 дні(-в)
(1 відгук)
1.3
ned4417

I am very good with forms and validation. Consider a student trying to get some experience. Here is a very simple form that I made. It is written in html5 and php. [url removed, login to view]

$120 USD за 4 дні(-в)
(0 відгуків(-и))
0.0
azazeel

Excellent over PSD to HTML/HTML5...

$250 USD за 7 дні(-в)
(0 відгуків(-и))
0.0
savanjavia

I can complete your task , please check message.

$30 USD за 1 день
(0 відгуків(-и))
0.0
Ruwanbhagya

i am experiences developer for this kind of forms in html5/css/[url removed, login to view] you have a any interest please let me know.Thanks....

$100 USD за 3 дні(-в)
(0 відгуків(-и))
0.0
syntaxJunkie

Hello, Good Day! I am really interested on working with your project. Hope you can check you private message for more details. Thanks.

$100 USD за 2 дні(-в)
(0 відгуків(-и))
0.0