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Registration page

This is a simple project with very little time - need this done today.

Urgently need a data capture page in the look and style of the document located at www worldbarguide com / webpage.pdf.zip. The page needs to write to a table on our database (you will need to create the table).

Page needs to work in all major browsers including older browsers IE 4 etc.

I DON'T have an HTML version - need this created to look like the above doc with all fields mandatory EXCEPT guardian.

Date Of Birth should be 3 drop-downs DAY (0-31) / MONTH (JAN,FEB,MAR etc.) / YEAR (1970-2000)

Compétences : Conception graphique , Javascript, PHP

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Concernant l'employeur :
( 70 commentaires ) london, United Kingdom

Nº du projet : #325641