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Cloning php forms with some amendments

$30-250 USD

Terminado
Publicado hace más de 10 años

$30-250 USD

Pagado a la entrega
I need to make a duplicate of this site [login to view URL] with some amemdments listed below. From the residential form to a business form:- 1. Company Name 2. Company Registration Number 3. Company Registered Address 4. Company Phone Number 5. Company Fax Number 6. Name of Authorized Officer (as in NRIC/Passport) 7. NRIC / Passport / FIN of Authorized Officer 8. Date of Birth of Authorized Officer 9. Authorized Officer Office phone number 10. Authorized Officer Mobile Number 11. Authorized Officer Email Address 12. Name of Billling Contact Person 13. Email of Billing Contact Person 14. Physical Billing Address 15. Installation Address If possible can I check to use Company registered address/billing address/installation address. Meaning to say if I fill up registered address, for Billing address I can tick on a checkbox so I do not need to re-enter. Likewise for the Installation address, I can tick to check on registered/billing address. Change 1. There are 6 plans. a. Business 12 $186: up to 100Mbps symmetrical. 99.95% SLA. Optional 1 IP. (12 months contract) b. Business 24 $186: up to 100Mbps symmetrical. 99.95% SLA. Optional 1 IP. (24 months contract) c. Business Plus 12 $499: up to 100Mbps symmetrical. 99.98% SLA. 8 IPs with rDNS. (12 months contract) d. Business Plus 24 $499: up to 100Mbps symmetrical. 99.98% SLA. 8 IPs with rDNS (24 months contract) e. Business Pro 12 $999: Dedicated 20 Mbps, burstable to 100Mbps symmetrical. 99.99% SLA. 16 IPs with rDNS. (12 months contract) f. Business Pro 12 $999: Dedicated 20 Mbps, burstable to 100Mbps symmetrical. 99.99% SLA. 16 IPs with rDNS. (24 months contract) Indicate in this form i. For all contracts, Free ASUS N56U Router and free upgrade to advertised promotions. ii. For all 12 months contracts, One-Time Service Activation, Equipment Setup of $460 and installation of Terminal Point (TP) up to $533 apply. iii. For all 24 months contracts, One-Time Equipment Deposit (ONT Modem) of $500 and full amount reinbursed upon contract termination. iv. For all 24 months contracts, One-Time Installation of the Terminal Point (TP) up to $533 is waived v. For all 24 months contracts, One-Time Service Activation and Equipment Setup of $460 is waived but option to pay and get $300 on the 12th and 24th months of the contract. Total $600 2. Router -- > ASUS N56U 3. Upgrade to Cisco RV220W Upgrade to Ubiquiti EdgeMax 4. Remove Teleport, BrainPOP and HomeVoice. Marital Status 5. Static IP (For only Business 12 and Business 24) Payment method add Cheque Disclaimer All pricings payable to MyRepublic is subjected to 7% GST Lastly change the mailer to use phpmailer? [login to view URL] The form send me a notification after someone submit it. Name your price and also provide estimated delivery. Thank you regards nic
ID del proyecto: 5240979

Información sobre el proyecto

17 propuestas
Proyecto remoto
Activo hace 10 años

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Hi, I can easily create this form for you. let me know if you have any questions. waiting for your reply. thank you.
$30 USD en 2 días
5,0 (40 comentarios)
4,4
4,4
17 freelancers están ofertando un promedio de $160 USD por este trabajo
Avatar del usuario
I am interested working on the project . After the form is submitted is it mailed or saved on database ? Please let me know
$210 USD en 5 días
4,9 (366 comentarios)
8,7
8,7
Avatar del usuario
Hello, I have 3+ year of exp. in the web development. Please find my skills and profile. Thanks & Regards, pankaj
$150 USD en 3 días
5,0 (76 comentarios)
7,1
7,1
Avatar del usuario
If you have an existing web server and hosting platform setup this should be very easy. To a programmer, it's as easy as taking a word document and changing 1 word for another 10 times over.
$55 USD en 3 días
4,9 (46 comentarios)
5,8
5,8
Avatar del usuario
Hello sir, I'm an experienced Belgian webdeveloper with over 7 years of professional experience. I'm confident that I can create the needed form for you and would have no problem at all to implement the PHPMailer class that you wanted. You'll see that I have a >90% project delivery rate so rest assured that I will do anything it takes to deliver the project. Kind regards, Andy
$111 USD en 3 días
5,0 (29 comentarios)
4,3
4,3
Avatar del usuario
I am having more than 6 years experience of working as a web developer and having a great exposure of website designing and Development in PHP, MySQL and Open Source Technologies like worddpress, oscommerce, zencart, Magento etc. I have developed many projects using MVC Framework like Zend,Smarty,CodeIgniter and CakePHP.I believe in quality and client's satisfactions.
$100 USD en 1 día
4,9 (14 comentarios)
3,5
3,5
Avatar del usuario
A proposal has not yet been provided
$225 USD en 15 días
4,8 (6 comentarios)
3,6
3,6
Avatar del usuario
Hi nicchua, I have more than 3 years experience in HTML,CSS, PHP, Codeigniter, MYSQL, Wordpress and OpenCart. Ready to start work right now, trust me i will never waste your time. 100% Satisfaction Guarantee with unlimited Feedback's. Contact me on Skype, my ID is developerstalk Looking for positive response and further discussions. Thanks
$177 USD en 3 días
5,0 (5 comentarios)
2,9
2,9
Avatar del usuario
Hi Nic, I'm interested in your project.. i've 6 years of experience and i'm expert in php... i can create clone of the form with the changes u have asked for.. i can deliver this by tomorrow.. please let me know if ur interested in my services.. regards, Naveed
$60 USD en 3 días
5,0 (2 comentarios)
2,6
2,6
Avatar del usuario
Hi, We are much interested to do this project. You can expect a professional touch from us. We are ready to start now. We read the bid spec and understood fully. We can show the work process on our demoserver or your server. After your full satisfaction we can handle the remaining process. We love to hear from you. Feel free to discuss more. Thanks, Ragu, Tech Team, RNT.
$30 USD en 3 días
0,0 (0 comentarios)
0,0
0,0

Sobre este cliente

Bandera de SINGAPORE
Singapore, Singapore
5,0
1
Forma de pago verificada
Miembro desde dic 18, 2013

Verificación del cliente

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