multipage form - ajax - php - mysql
Budget: $30 – $250 USD
I am looking for a basic, non-stylized, multipage form that will submit to a mysql table.
stage 1: "Basic Info"
-Name
-Company
-Phone
-Email
stage 2: "Property Info"
-Address
-City
-State
-Zip
-Fenced in (yes/no)
-Exterior doors (#)
-Garage Doors / Roll up Doors (#)
Stage 3: " Services"
-Parking lot patrol (yes/no)
-Exterior Property patrol (yes/no)
(if yes)
+Lock up Service (yes/no)
(if yes)
_how many doors/rollup doors (#)
-Interior Property patrol (yes/no)
(if yes)
+floors (#)
+elevators (#)
+floors (#)
Stage 4: "Additional Services"
- Description block of Escort service
- Escort service (yes / no)
(if yes)
+ Start time (time --HH:MM)
+ How long for the service (minutes)
Stage 5:
- How many checks per night are you interested in:
- interior patrols (dropdown # 0 - 5)
- Parking lot ( dropdown # 0 - 5)
- Exterior ( dropdown #0 - 5)
- Escorts ( dropdown #0 - 5)
Stage 6: Thank you
- Thank you block
- email copy of form data to the submitter
- email me notification of submission.
stage 1: "Basic Info"
-Name
-Company
-Phone
stage 2: "Property Info"
-Address
-City
-State
-Zip
-Fenced in (yes/no)
-Exterior doors (#)
-Garage Doors / Roll up Doors (#)
Stage 3: " Services"
-Parking lot patrol (yes/no)
-Exterior Property patrol (yes/no)
(if yes)
+Lock up Service (yes/no)
(if yes)
_how many doors/rollup doors (#)
-Interior Property patrol (yes/no)
(if yes)
+floors (#)
+elevators (#)
+floors (#)
Stage 4: "Additional Services"
- Description block of Escort service
- Escort service (yes / no)
(if yes)
+ Start time (time --HH:MM)
+ How long for the service (minutes)
Stage 5:
- How many checks per night are you interested in:
- interior patrols (dropdown # 0 - 5)
- Parking lot ( dropdown # 0 - 5)
- Exterior ( dropdown #0 - 5)
- Escorts ( dropdown #0 - 5)
Stage 6: Thank you
- Thank you block
- email copy of form data to the submitter
- email me notification of submission.