design page for word press site w form simple programming

MFH Specs Project:

will give you login to our WP admin and FTP as needed

Tasks: Create new page and mailer for page + fix text on home page + change menu - Design and simple Form Programming - validation of fields and emailing

1. Create Site page for Physician Advance W/ HTML Mailer

(HTML mailer will not contain the form - instead will have on top , and bottom buttons for:

Get Instant Physician Advance - Get Funding Today!

Site - page design: see in specs

Keep colors Black and Green Consistent


Design need to include a Form

A. Form area on top right of page

See form attached

Special Physician Advance Program Application

(smaller text) Same Day Funding - Average 350K Per Location - Best Rates - 14% Average Interest

(soft credit check - bad credit OK - Cash Flow Based - Pay in 18 months - Lowest Interest)

First Name

Last Name

Provider Name

Download Our physician Advance Application

Upload your Signed Physician Advance

Upload your last 4 Bank Statements

* All fields above required

Submit - will send all via email with the attachment to email we give you

and send us email notification when submitted to 2 email addressed

B. Area from Top for landing page:


rest of specs in file attached

We need it done in 24 hours

We will give you original PSD - we should have if you need

Keep same font and design consistent with main site

Budget $70-$100 +/-

Tell us with your budget if you will do the HTML mailer also or not
We can always do it later. so your decision with budget

Habilidades: Diseño gráfico, HTML, Photoshop, Diseño de sitios web, WordPress

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Información del empleador:
( 370 comentarios ) Las Vegas, United States

Nº del proyecto: #15532889

25 freelancers están ofertando el promedio de $175 para este trabajo


Hello we can help you to design a form for you and can deliver as soon as possible with quality of work. kindly private message us to initiate discussion. Relevant Skills and Experience We have been in operation from Más

$257 USD en 8 días
(1445 comentarios)

Hello, We are a team of 30 developers based in Russia. We can help you with any WP -related tasks (including WooCommerce/BuddyPress). Our latest WP projects: [login to view URL] [login to view URL] [login to view URL] Más

$350 USD en 3 días
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Ready to start..Talented designer/programmer will provide high quality work. Relevant Skills and Experience Website Design: Adobe Photoshop - 10+ years experience Web Development: Php, Wordpress, Jquery, Javascrip Más

$277 USD en 5 días
(40 comentarios)

We are very confident getting you a clear solution website with high quality Design, Mobile Responsive site with guaranteed results and a site which is completely SEO ready. Relevant Skills and Experience Graphic Desi Más

$250 USD en 10 días
(78 comentarios)

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$170 USD en 3 días
(435 comentarios)

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$94 USD en 0 días
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Hello, we are the team of professionals called WordPress Monsters and we would be happy to help with your project! We're trully comfortable working with WordPress website development. We use WP to build thoroughly thou Más

$350 USD en 3 días
(22 comentarios)

Hello, It would be a pleasure for us to assist you in web development. I am quite good in wordpress and custom php. I am familiar with wordpress theme and plugins customization, PSD to HTML, eCommerce, custom php Más

$170 USD en 5 días
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$111 USD en 2 días
(50 comentarios)

We are a team of highly skilled and experienced website designers and developers with 5+ years experience. I assure you that we can give you a quality and timely delivery of your project. Relevant Skills and Experienc Más

$155 USD en 3 días
(48 comentarios)

God Day Sir ! My Name is [login to view URL] for Start work! I've 6 Years experience in WordPress website Design,WordPress Theme Customization,Plugin development,PSD to WordPress,WordPress eCommerce website Site with Mysql, Más

$100 USD en 3 días
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$155 USD en 3 días
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A proposal has not yet been provided

$133 USD en 2 días
(44 comentarios)

hello, great manager I will complete it for $ 100. I am a freelance contest winner. Our team has more than 10 years of experience. I will show you my previous working if you want. With my creative design you will Más

$100 USD en 3 días
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I will do everything as per your requirements. I am waiting for your kind response. Thank you.

$250 USD en 7 días
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