need a Simple PHP page with Form

I am experienced php developer and web designer with the depth knowledge related to MySQL,Laravel,Code Ignitor,WordPress,MSSQL,JSON,JAVASCRIPT,AJAX,XML,jQuery,CSS,HTML5,Material Designing with the integration of web technologies. I have worked as Php & Web developer in industry and now i am full time freelancer and having the experience of huge and live projects. I can design the web pages with the backend of php and I have also experience of query optimization and performance management through php support. I am finding one startup like you so i can provide my skills to IT market and I can give you 100% surity for quality work in minimum time sir. I have also launched eCommerce Product for pharmacy industry and launched android app on play store as well , I have great control in android with backend of php webservices and api generation with JSON integration. I can work at anytime with the great satisfactions,quality output and result in your hand with the fulfilling your requirements for sure. Waiting for your positive response , so we can start the work soon ..

PHP page with a form I can easily build PHP page with a form. I have checked attachments and sample form. I have done this work so many times. I am a PHP expert who loves to code. For over the last 5 years+, I have developed a number of Websites. I use these technologies to build awesome stuff: - PHP / PHP OOP - WordPress / WPML / Visual Composer / Advanced Custom Fields / Gravity Forms -Woo commerce - JavaScript / HTML / CSS - MySQL - Linux / Ubuntu - jQuery Let discuss for the project so I can start work quickly. Regards, I am placing a placeholder bid as the amount field is compulsory to submit this bid.

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Approach: Hi, we understand whole concept ,can give you the exact work and quality that you want ,no upfront, once work finish then and then you need to pay ,just give us a chance to work with you. Benefits To Hire Us: Fast Turnaround Time Mon to Sat Working Our primary focus is around:-- Web Designing (Responsive Websites, Responsive, Angular JS,PSD to HTM5, PSD to CMS Template Design, HTML/XHTML, CSS, Jquery) Web Development ( Wordpress , CMS, Magento, Core PhP,codeiginter,Woocomeerce,Angular js) Corel Draw, Adobe Photoshop, Adobe Illustrator, Adobe Indesign, Powerpoint, 2D Designing, 3D Designing, Flash, Max, Maya Expertise In Brochures, PPT, LOGO, Flyer, Poster, Websites Graphic Designing (Corporate Identity, Logo , Banner, Brochure, Flyer, Poster, PPT, PDF Designs, CD Covers, Labels, Business Cards, T-Shirt Designs, Infographic, Illustrations, Invitation Cards, Business/Visiting Cards, Website Mockup Designing, Landing Pages, Facebook/Social Profile Images, Youtube Banners ) We DONT WORK on SUNDAYS ::: we know we are losing revenues: - But we don't work for Adult , unauthorized clone , Dating, & Gambling kind of websites at any circumstance ::: we are available at mail and on freelancer.(24 @ 7) Let me know your views to kick start of your project thanks

We Believe in Delivering Perfect Work and Providing Full Satisfaction to Our Client . We also Insure to Deliver the Work in the given Time Frame . we have highly Qualified Professionals in our team.

The skills and resources needed for this project are in my genes. We can assure you for a complete professional work in a given timeline. Please share the complete detail of your requirement. We have 8+ year experience in PHP, Android and dedicated security team to make sure that data is not traceable by anyone we can complete the job real quick we have dedicated 20+ web developers

Hi there I check the screenshot and the form attached. I can create this form by today. Please discuss more in chat Thanks

Dear Employer, We are ready to start your work right now. Me and my team is ready to complete your work with a quality work. I am capable to do this project. we have 6+ year experience in IT Industry. We have already created more than 198+ Apps and around 540+ websites so far. Thanks & regards Domaxy Info Soft Pvt. Ltd.

Hello… Greetings of the day!!! I carefully reviewed your requirement for quality services you can connect with me. I have more than 8 years of experience in Website & Mobile Application Designing & Development, Graphics Design (Flyer, GIF Flyer, Banner, Web Layout, Logo, ID Card, Visiting Card, Matte Painting, Digital painting, Character Designing, Background Designing), Animation & Multimedia & SEO/SMO, Google Adwords/PPC, Google AdSense, Content Writing and Strategy, Article Writing and Blog Writing, create Google friendly content to meet your every requirement and we have an expert and dedicated team of accomplishing your task in your time and budget. I can accomplish your task or work on your strict time frame with quality work. Let me know a good time to talk so that we can assist you in the best possible way. Thanks & Regards. Waiting positive response.

Hey we have team of young designers and developers having more than 4years experience in there respective fields. We will provide you a quality product. Hope you will give the assignment to us.

Hello, i have checked the google form and i can make better UI for the form. Please get in touch for discusstion. Thanks

Hi, I can create PHP Web Form for you. I have checked the Link as well as ScreenShot . I can build exactly the same From with same functionality. I have 3+ years of experience in Web Development & Designing. I'm online at the moment so feel free to initiate a chat with me and discuss this further. Thanks for your time reading my proposal. Regards, Parmod

Yes I understood the requirement I can done this within 1 hour. Please give me a message then I confirm you do not award anyone in one hour. I can give you work done in 1 hour.

Hi sir i am Mushtaq i am professional php laravel developer and web designer i can make this page simple and beautiful and responsive as you want say

Hello, You can trust me for this. I can make this form in max 2 hours. Please contact me .

hello sir, i have a good knowledge in website design and Angularjs, boitstrap specially in forms i can create this form very beautifully and i am a fresher so if you want you can give me a chance . thankyou.

Hello, I am HTML and CSS developer and also I use PHP and MySQL if needed. Creating this form from the link you posted doesn't seem to be hard. Hope I can help you.

Hello Sir,I You can help me do the job

I submit for like a one-page web profile, which includes all the data you want to display, collaborate, html, css, jquery, js, and php Relevant Skills and Experience I have several examples of the same project, which I have made before, such as, school profile, web company profile, and so on

Hi Diya is here to help you in a lower amount. I will make a form page for you. Give me your requirements for form.. Hope you will satisfied with my work.