I need to have a embeddable form that takes in various kinds of userdata, like name, email address. Form must have checkboxes.
All fields must be filled, all checkboxes must be signed for form to complete. After form is complete, form fields disappear and a message shows.
If the user is viewing the form from a United States IP, form must read "United States Banned from Purchase". With no data fields showing and no way to file form.
Form must autopopulate one field that is taken from the url of the site that is submitting the form. For instance url http://earthcycle.io/?ref_code=kSt1xuw. Form will autopopulate kST1xuw. This field cannot be manually populated. If not auto-populated, then the form cannot be submitted.
July 14, 2018
I am willing to pay higher rates for the most experienced freelancers