Create a Wordpress Template ( Customised form)

Completed Posted Feb 25, 2015 Paid on delivery
Completed Paid on delivery

We need an online form to be created on our wordpress site , I have attached the pdf Ver of the form ( All images are available) .

Working :

1. A link will be provided to our dealers ( [login to view URL]<link>

2. They will have a basic authentication to access the order form

3. They will fill in the required fields of the form , which will have drop down boxes for the Qty they order , prices are fixed for all .

4. They will submit the form

5. A confirmation email will come to us and to them of the confirmed order

As a security measure if the ip is not from NZ then it should not allow any login. I dont want any robots to crash the site .

Please be specific when quoting . Please ask questions if you are not sure of anything .

CSS HTML PHP WordPress

Project ID: #7208684

About the project

23 proposals Remote project Active Feb 26, 2015

Awarded to:

sampathperera

Hi Kohil, This is Sampath! I'm senior software engineer with over 10 years of experience. I will do quality wok on time. I can start the project immediately. See my Linked in profile [login to view URL] More

$155 USD in 3 days
(6 Reviews)
4.3

23 freelancers are bidding on average $172 for this job

sonuinfy

Hey There Certified Wordpress/WooCommerce expert here with 7 years of exp. I'm rank #2 here in wordpress category among 14 million+ freelancers . You can verify the same here: https://www.freelancer.com/d/ski More

$154 USD in 2 days
(599 Reviews)
9.0
niravvirani17

Ready to start "Right Now" Give me chance to prove my ability and also quality work i am waiting your positive replay from your side i am highly interested to work with you We have 7 years experience in this fi More

$105 USD in 3 days
(981 Reviews)
8.5
bdsiddhi

Hi There, Greetings !! We have a team of 25 full time, dedicated developers having expertise in iPhone, Android, Joomla, Magento, Wordpress, Prestashop & Core PHP. We are willingly to work on this project. We ca More

$326 USD in 4 days
(278 Reviews)
8.8
technovation1

*** I am much confident to provide right solution as per your desire and ready to start work immediately. Let's Do It. *** *** Please check PMB for more details. *** I am posting m More

$151 USD in 3 days
(312 Reviews)
7.3
Shopify

I have been coding and developing websites for the past couple years, and gained substantial knowledge and experiences in PHP. I have completed many projects, some of which can be found in my portfolio. I have the abil More

$263 USD in 10 days
(29 Reviews)
7.1
bhuasri876

Hello, Thanks for the pdf and a small brief description. I understood your requirements and keen to start the work. All set and ready to start the work. Awaiting Response. Regards, Gaurav

$221 USD in 3 days
(27 Reviews)
6.0
tsradiant

Hi, I am a Web Designer and Developer with more than 7 year experience. I have worked as Web Design & concept Consultant. I do care for concept, typo, Fonts, color culture, neatness and User friendliness presentation More

$90 USD in 3 days
(51 Reviews)
4.7
dewplan

Hi, I’m dedicated professional Web and Desktop Programmer & Developer and also Team leader for my company. I have been working with challenge and hope to improve future plan with good network every client. If any clie More

$147 USD in 3 days
(6 Reviews)
3.0