Webform with some simple functions

We are looking to build a web registration form, the registration form will save all the data to a database and send also send the data to an email.

This is a form for a marketing campaign where we ask people to send gifts to friends. So, there is a “Sender” which is the one that will fill out the form and a “Receiver” which will receive a post package.


-The form will need to be built on Bootstrap for responsive benefits and styling, [login to view URL]

-The form will be iFramed into a WordPress page.

-The form will need to be easily translated into Icelandic, so all text strings will need to be in a file that can easily be accessed and changed.

-The form will be set up on our server and the freelancer will need to help us get it up and running on our server.


-The following fields will be used in the form:


---Name of sender (text field, required field)

---SSN of sender (number field, required field)

---Email of sender (email field, required field)

---Phone of sender (phone field)


---Name of Receiver (text field, required field)

---Home address of Receiver (text field, required field)

---Home zip code of Receiver (number field, required field)

---Message to Receiver (text area field, max charts is 200, must show how many charts has been used, demo: “Charts: 78/200”, required field)

--Submit form

-Form functions:

--The form must have error notifications for missing fields etc.

--The form will display message after the form has successfully been submitted.

--The form will send automatic email to those who submit the form, the email must be sent in a HTML email. The email is sent to “Email of sender” and the admin must be able to edit it in a single html file. The email will include the “Name of sender” and “Name of Receiver”.

--The form will have a limited amount of submissions, so I can choose to have only 1000 people to take part in the campaign, the number 1000 must be controlled by me and changeable.

--We must show a counter at the top of the form, so it will show the number of submissions made vs submissions left (113/1000).

--In the database where all the submissions will be saved I need to be able to delete a submission, then that submission should be added to the list of submissions left.

--We need to show an error if same “SSN of sender” tries to fill in the form multiple time, only one submission per “SSN of sender”.

--We need to be able to have the database view locked with password, so only the admin can access.

--We need to be able to export the database to an excel format, (.xlsx) is preferred but (.csv) or (.xls) will be ok to.

Please see the PDF, it is more clear.

Aptitudini: Bootstrap, MySQL, PHP, Arhitectură software, WordPress

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Despre angajator:
( 35 recenzii ) Garðabær, Iceland

ID Proiect: #12752507

Acordat lui:


Hi, I have understood your requirement to build a form that can be used as an iframe on a website. And can send emails, save data to database etc. Please message me to discuss more. Regards, Saifudheen

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47 freelanceri licitează în medie 185$ pentru acest proiect


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