I need some changes to an existing joomlabwebsite

Here is the description

we need a validation rsform on this page that asks Clients name and email as well as a place to enter a code

• Code – this can be a series of numbers or Captcha type

o We will have 8 codes

 3 codes will congratulate the client on 50% off transfers to any resort

• we will print 700 of these codes

 2 codes will congratulate the client on free transfers to any resort trip of 5 nights

• We will print 200 of these codes

 1 Code will be for $150 off and resort or island 5 days or more

• We will print 10 of these codes

 1 Code will be for $250 off and resort or island 7 days or more

• We will print 2 of these codes

 1 Code will be for $500 off an Island vacation

• We will print 1 of these codes

I need to know today if you can do it and how much it will cost. It must be done by Monday night.

Skills: Joomla, PHP

See more: I have existing android app which is 80% build completed. I\ ll provide the source code for existing app need to update UI and f, Interior Design Store - I pay 200 USD $10 USD, design changes need, existing website need redo, need create 200 live accounts, need job 200 week, need create 200 email accounts, free pictures 200 150 pixels, pictures love 200 150 pixels, lovely pictures 200 150 pixels, 200 150 pixels pictures free, free tags 200 150 pixels, design tags 200 150 pixels, animated gif 200 150

About the Employer:
( 628 reviews ) Fort Collins, United States

Project ID: #14504018

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Hi, I'm interested to work on your project, I will start project immediately Please let me know if you require any detailed information. Waiting for your reply Thanks Dev Relevant Skills and Experience More

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