Single Page Payment Form - PHP



I'm looking for someone to create a single page payment

form (with css, centered 70% screen) that can post payments

to [login to view URL] and write out the user data to a flat file

(pre-pended or one per customer is ok).

Our NOC guys will make necessary changes to push the

data to a secure SQL server before it goes up.

This code is a redo to uncomplicate an eight year old

interface. One of our main goals is to pretty it up

and simplify what we have.

This is going to read sloppy but I'll try to get it all

into this edit box.

Procedures to implement:

Pre-color the background of the Fields, and do fields

checking (javascript?) for abnormal / missing entries,

auto-clear any "text" on entry into the fields.

A live E-mail account check would be good, but is not a

must have.

The post to Authorize net needs open an secure (SSL) link, on

return evaluate AZN's code for approval, declined, address

mismatch street/zip, cvv mismatch.

After eval, fork to display the user-correctable errors

(try a different card, Insufficient funds, ect) in text -

preferably on the same page, a consideration here is keeping

the customers already entered data(probably not the CC data).

On successful evaluation of the return (payment good) we

must create an 8 character user ID and 8 char. password,

this is not a customer option.

Once the UID / PW pair is created, we send an https OR http

post to another server to establish the account.

The second server will return a result to evaluate,

we need to keep the previous stuff so we can show the

customer a receipt along with his account UID/PW, write

the data to the file.

We need then format that servers return string into a

"success" page for the customer. If it fails we then

send email (windows machine E-mail app, AND unix need

to be supported) to an admin@ address.

A "thank you" email goes to the customer, and

"order placed" details to a sales@ email address.

Form fields.

All fields are required. NO popup boxes.

Bring the errors foward on the form or return

the page with colored + underlined text, once

per item.

(Generate an Invoice or Order ID #)

Invoice # (required)

First Name (required)

Last Name (required)

Billing Address1 (required)

Billing Address2

City (required)

State (required)

Zip (required)

Phone Number

Email (required)

country selector?

Break for logos & Authorize Net Seal and SSL Seal

Credit Card Type (MC/Visa/Discover) (required)

Credit Card #

Credit Card Expiration

Credit Card CVV Code

Three check boxes - user must tick to proceed.

"I have read the terms"

"I agree to agree"

"One more important thing"

Submit button.


declare footer


I set the price range $250 - $750, but honestly this can be

done pretty quickly, be kind! :)

Overall, the smaller presentation is better, use inline or

external css, no specifics on colors other than the back

face of the form fields.

Thanks, Mark L.



Compétences : AJAX, Javascript, PHP, Design de site internet

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Concernant l'employeur :
( 0 commentaires ) Leon Springs, United States

Nº du projet : #330649

24 freelance font une offre moyenne de $420 pour ce travail


Get it done... Thanks

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 4 jours
(647 Commentaires)

Hi, I can code this page for you. Lets start :)

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 2 jours
(676 Commentaires)

I can offer my high quality web programming services to you. Please contact if interested.

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 2 jours
(141 Commentaires)

pls chk pmb

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 3 jours
(790 Commentaires)

************************************************************************.. YOUR SEARCH ENDS HERE .. ************************************************************************************ Get it done professionally and g Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 2 jours
(131 Commentaires)

Hi, Please view PMB for more details. Thanks.

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(70 Commentaires)

Please check PMB.

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 5 jours
(83 Commentaires)

Dear Sir, I am interested in your project and can be done with your 100% satisfaction. I request you to check your PM for our quality work. Progress Report Daily + Dedicated Team + You can reach team Via Email, Yahoo, Plus

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(91 Commentaires)

Hi Mark, Please open PMB for more discussion,the project specification is ok with us. Thanks KD

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(52 Commentaires)

Hello Sir, Please see the PM. Thank you. with regards zub

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(97 Commentaires)

can be done.

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 3 jours
(86 Commentaires)

hello, pl. check pm to view more. regards

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 5 jours
(36 Commentaires)

Please check my PMB

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 15 jours
(3 Commentaires)

I offer over 30 years electronic design experience, hardware, firmware, special applications software. In the last several years I have branched out into website development (ie, software development). For examples see Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 10 jours
(1 Évaluation)

*** satisfaction guaranteed ***

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 3 jours
(6 Commentaires)

I have more than 6 yrs experience having worked for multinational corporations. I can show you samples of my previous work if you want.

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(5 Commentaires)

I have written many custom [login to view URL] handlers. Should take 4-5 hours. It may just be $200 depending on how slick you want the form. I can add in some AJAX to make it nice.

%bids___i_sum_sub_32% %project_currencyDetails_sign_sub_33% USD en 1 jour
(2 Commentaires)

Hi, I just reviewed your bid request and I beleive that my team and I can deliver your required solution aptly and professionally. Feel free to contact me about any issues/clarifications you might have or if you nee Plus

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(0 Commentaires)

i have wide experience using authorize.net. SIM / AIM API's. this can be done quickly. please send more details if interested in my service.

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 3 jours
(0 Commentaires)

I can provide you clean and stable code with detailed commenting. :|

%bids___i_sum_sub_35% %project_currencyDetails_sign_sub_36% USD en 7 jours
(0 Commentaires)