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.

Навички: HTML, PHP

Деталі: php contact form mysql email confirmation, php contact form email selector, php contact form multiple email addresses, php contact form email verification, php contact form taking days email, php contact form user chooses message send, change email php contact form, flash tutorials flash php contact form mandatory fields, safe php contact form, php contact form setup flash, php contact form template, php contact form attachment, flash php contact form required fields, free flash php contact form, php contact form captcha

Про роботодавця:
( 1 відгук ) Frankfurt am Main, Germany

ID Проекту: #15880928

70 фрілансерів(-и) у середньому готові виконати цю роботу за €141


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 Більше

€250 EUR за 5 дні(-в)
(166 відгуків(и))

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 Більше

€155 EUR за 3 дні(-в)
(82 відгуків(и))

Hi. I looke dat .[url removed, login to view] 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 Більше

€180 EUR за 2 дні(-в)
(292 відгуків(и))

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 Більше

€201 EUR за 3 дні(-в)
(145 відгуків(и))

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 за 3 дні(-в)
(78 відгуків(и))

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 за 3 дні(-в)
(98 відгуків(и))

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 Більше

€155 EUR за 3 дні(-в)
(88 відгуків(и))

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 Більше

€99 EUR за 3 дні(-в)
(203 відгуків(и))

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

€122 EUR за 3 дні(-в)
(99 відгуків(и))

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 Більше

€150 EUR за 4 дні(-в)
(76 відгуків(и))

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 за 5 дні(-в)
(94 відгуків(и))

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 за 2 дні(-в)
(165 відгуків(и))

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

€277 EUR за 3 дні(-в)
(56 відгуків(и))

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 Більше

€172 EUR за 7 дні(-в)
(121 відгуків(и))

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 Більше

€138 EUR за 3 дні(-в)
(69 відгуків(и))

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

€133 EUR за 3 дні(-в)
(75 відгуків(и))

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 Більше

€155 EUR за 3 дні(-в)
(98 відгуків(и))

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 Більше

€150 EUR за 3 дні(-в)
(65 відгуків(и))

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 Більше

€133 EUR за 3 дні(-в)
(63 відгуків(и))

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: [url removed, login to view] Більше

€125 EUR за 4 дні(-в)
(26 відгуків(и))