Completed

HTML Blocked page with form

I need to create a page in HTML that When the user encounters a Block Page, s/he would have the opportunity to submit a ticket with the information right from that page ( name, email and reason). I want to receive an email with this information. The html file will be upload to the firewall.

I’m going to attach the html source code and a picture of how my block page to look like. The example page can be copied as long as I get a ticket with the users info

Skills: PHP, HTML, Website Design, CSS, JavaScript

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About the Employer:
( 0 reviews ) Hialeah, United States

Project ID: #30953480

Awarded to:

designobsessed

Hello Thanks for the project posting. I have just studied the project description and I have understood that you want a page developed in HTML that when the user will encounter a Block Page, s/he would have the opport More

$30 USD in 2 days
(38 Reviews)
6.7

22 freelancers are bidding on average $39 for this job

elancefoxvn

Hello, I'm a full-stack website developer with over 15 years of experience. I've done a lot of website projects that you can check the previous jobs & reviews from my profile page - https://freelancer.com/u/elancefoxvn More

$40 USD in 1 day
(305 Reviews)
8.3
srdeveloper8988

Hello I understood your requirements. I can complete this project in one day. we can chat for detailed discussion. payment will be after completion of work only. thanks for your time

$45 USD in 1 day
(33 Reviews)
5.7
BXsolution

Ready to start now Hi there, Yes I will create blocked page in HTML with Form with responsive kindly inbox me so we can discuss further. Thank you Basit

$34 USD in 1 day
(90 Reviews)
5.6
umg536

Hi there, I'm bidding on your project "Blocked page with ticket " we are a team of titanium certified developers. we excel inAutoCAD and solidworks enviroment along with unity and unity 3D. please leave a message on m More

$100 USD in 3 days
(5 Reviews)
4.6
maksimbalashov

Hello dear. I'm very interested in your project and I can do this wonderfully for you. I'll try to do this within a short time. Hope to discuss more details with you. Thank you.

$30 USD in 1 day
(22 Reviews)
4.8
sunilkumarjat00

Hey There After going through the details of your projects I understand that you need a web developer to develop a html page. I believe that you are looking for a quality work which needs to be completed under a certai More

$30 USD in 7 days
(13 Reviews)
4.6
niknevolin02

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$30 USD in 7 days
(6 Reviews)
4.2
nutankumarftp

Greetings ! I can see you are looking to HTML Blocked page with form I have read your post requirement for the "I need to create a page in HTML that When the user encounters a Block Page, s/he would have the opportuni More

$30 USD in 2 days
(17 Reviews)
4.5
pantadeveloperr3

Dear, Hiring manager I have read your requirements carefully. I am a front-end developer (CSS, Javascript, HTML). To understand this, I will share my previous work experience. - [login to view URL] - ht More

$20 USD in 7 days
(6 Reviews)
3.2
cateCathe

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$45 USD in 1 day
(6 Reviews)
2.9
kumaralok0108

Hi, can you please share a detail scope. I have a 7 years of working experience and can be done easily

$30 USD in 7 days
(8 Reviews)
3.2
smhuda

Hi, I understand your project requirements completely and feel confident to deliver the job perfectly. Kindly share some more details so I can start this job right away. I am expert programmer with expertise in PHP, W More

$30 USD in 7 days
(0 Reviews)
0.0
ashutoshaet

Hi, Greetings...! I have studied your post and understood the requirement that you are looking for Blocked page with ticket. I would like to let you know that I have more than 15 years of experience in designing and More

$100 USD in 4 days
(1 Review)
2.1
(0 Reviews)
0.0
GolpikCorp

Hi, this is Azlan from Golpik. I have thoroughly reviewed your requirement and I am confident that we can work on your project and submit you with the deliverables in the promised time. However, I have a few questions More

$30 USD in 7 days
(0 Reviews)
0.0
chinmoydatta473

Dear Hiring Manager, Take my sincere respect. I am a website designer and design creative website nowadays. I have gone through your project description and came to know that you want to build a website but you need d More

$35 USD in 7 days
(0 Reviews)
0.0
jekesi7063

Hi, I'm a senior in Website and App Development. I read the job details extremely carefully. I think I can help you to complete your project with my rich knowledge and experience. I'm ready to do it now. Should you req More

$30 USD in 7 days
(0 Reviews)
0.0
jeetpanwar

Hello I understood your requirements. I can complete this project in one day. we can chat for detailed discussion. payment will be after completion of work only. thanks for your time

$20 USD in 1 day
(0 Reviews)
0.0
DiyaLabTech

Hi there, I've read you job description and can definitely help you to create fully responsive HTML Blocked page as per your needs/demands. It will be great if you can provide me the detail. So, that I can understand y More

$30 USD in 7 days
(0 Reviews)
0.0
webexpert107

Greetings?! I hope you are doing great?. I have appraised your requirement regarding the skills that you want for your website and I want to tell you that I am totally fit for this job. I have more than 4 years of ? More

$30 USD in 7 days
(0 Reviews)
0.0