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Order Forms

I need two order forms integrated with paypal.

1st form:

Text Field: First Name

Text Field: Last Name

Text Field: Phone

Text Field: Email

Text Field: Address

Text Field: Postal Code

Text Field: State

Text Field: Country

Drop Down: Beginner Plan [url removed, login to view], Business Plan [url removed, login to view], Premier Plan [url removed, login to view]

Text Field: Cpanel/ftp Username

Text Field: Password

Drop Down: Regester New Domain [url removed, login to view], Use Existing Domain (I Will Update My Nameservers)

Text Field: Domain

Text Area: Additional Information

This form will need to calculate both what the person puts in for their package and if they choose to regester a new domain also add in [url removed, login to view] For example: If a customer chooses the beginner plan and a domain the paypal screen once they click submit will have to create a subscription per month for [url removed, login to view] as well as a subscription per year at 12.99.

You can take out all the stuff underneith the flash in that open space and make a neat and clean looking form that uses grey/silver or navy blue.

Form submits to [url removed, login to view] at [url removed, login to view] and redirects to a page that says Thank You for your order! It is being processed now. Please allow up to 24 hours for you to recieve your account information via email and up to 72 hours for your domain.

---------------------------------

Second form:

Text Field: First Name

Text Field: Last Name

Text Field: Phone

Text Field: Email

Text Field: Address

Text Field: Postal Code

Text Field: State

Text Field: Country

Drop Down: Bronze Plan [url removed, login to view], Silver Plan [url removed, login to view], Gold Plan [url removed, login to view], Premier Plan [url removed, login to view]

Text Field: WHM Username

Text Field: Password

Drop Down: Regester New Domain [url removed, login to view], Use Existing Domain (I Will Update My Nameservers)

Text Field: Domain

Text Area: Additional Information

This form will need to calculate both what the person puts in for their package and if they choose to regester a new domain also add in [url removed, login to view] For example: If a customer chooses the bronze plan and a domain the paypal screen once they click submit will have to create a subscription per month for [url removed, login to view] as well as a subscription per year at 12.99.

You can take out all the stuff underneith the flash in that open space and make a neat and clean looking form that uses grey/silver or navy blue.

Form submits to [url removed, login to view] at [url removed, login to view] and redirects to a page that says Thank You for your order! It is being processed now. Please allow up to 24 hours for you to recieve your account information via email and up to 72 hours for your domain.

Form 1 should be: [url removed, login to view]

Form 2 should be: [url removed, login to view]

My paypal address is [url removed, login to view] at [url removed, login to view]

Please tell me how long this will take and if you need more than 20$ Thanks!!

Compétences : PHP, Script Install

Voir plus : paypal pending order, paypal pending long, paypal order pending, update paypal account, second last name, gmail business account, cpanel ftp, business email gmail, need flash phone, submits, silver gold, says, php forms, order, need order, html php forms, create cpanel, bt, bronze, beginner, create gmail account business, add country state, cpanel add php, order field, php redirects

Concernant l'employeur :
( 13 commentaires ) West Friendship, United States

N° du projet : #23149

20 freelance ont fait une offre moyenne de 50 $ pour ce travail

infoway

Ready to start now. view PMB.

50 $ USD en 2 jours
(83 Commentaires)
7.9
AtlanticSoft

Please Check PMB

30 $ USD en 1 jour
(174 Commentaires)
7.8
Properbouncetech

Hello, thanks for your bid invitation and think our price and time span are the best one as per your budget and project. Pls. See PMB. Regards.... Microsectec.

55 $ USD en 5 jours
(38 Commentaires)
7.0
cstl

Chandusoft.com is a customer-specific service oriented company has got an Professional and creative team with 6 years experience in Web design , web programming and software development . We have expertise and e Plus

80 $ USD en 7 jours
(20 Commentaires)
6.9
jobonline

let me do it for you again!

30 $ USD en 0 jours
(56 Commentaires)
6.5
expprog

hi, can i get a chance. Pls see PMB. Regards

80 $ USD en 1 jour
(43 Commentaires)
5.9
bornalex

Can be done ASAP.

30 $ USD en 2 jours
(54 Commentaires)
5.9
infogatesoftware

InfogateSoftware is the only ISO 9001 certified company listed here. We are in the field since 1998. We have a large and highly experienced team of Programmers, designers, technical writers and others to do your work i Plus

30 $ USD en 1 jour
(10 Commentaires)
5.4
remtools

I'v got exprience and am I'm Ready to start..

30 $ USD en 1 jour
(5 Commentaires)
3.8
softevision

Dear Client ==== Thanks you for opportunity to bid on your project ==== We have already experience of working on related projects.Please check PM for more details ==== Thanks and Best Regards, SofteVision

50 $ USD en 1 jour
(3 Commentaires)
3.4
tanuj99

pl see pmb for details

100 $ USD en 7 jours
(1 Commentaire)
3.2
kalesh777

can be done easily for if you have questions send me a pm

40 $ USD en 2 jours
(1 Commentaire)
1.0
arpanet

Dear sir. Thank you for giving us an opportunity to bid on your project. We can start immediately. we have been working on web development since 6 years. We conduct software development online of Elance ,where w Plus

40 $ USD en 1 jour
(0 Commentaires)
0.0
Randeep

We are a group of highly educated professionals with specialization in various fields. although we are new to elance.com, we have done such projects before and we are confident of doing your project. We will always be Plus

30 $ USD en 5 jours
(0 Commentaires)
2.4
virtualtech34

can be done ... XXXXXXXXXXXXXXXXXXX

40 $ USD en 1 jour
(0 Commentaires)
0.0
a6sridhar

Please visit www.rxdrugsforu.com, a sample site for you to see. It is developed for a client in USA. We can provide you chat services at a very nominal cost. If operator is not available few customers may not be re Plus

81 $ USD en 3 jours
(0 Commentaires)
1.0
smritiksinha

I have the experience of designing such form earlier using PHP and Perl

50 $ USD en 10 jours
(0 Commentaires)
0.0
ninadbe

Hello Sir, We can do it in given time. We have more than 2 years of experience in Website developement in PHP. Plz contact me if u r interested. Thanking you. Plus

100 $ USD en 5 jours
(1 Commentaire)
0.0
manjeetsingh

Hi, I have five years experience, i have done many such projects. integration with paypal, authorize.net, epdq. contact me for further details thanks with regards, Manjeet

30 $ USD en 0 jours
(0 Commentaires)
0.0
contractworker

How about trying something that's New, Innovative and without compromising on the quality! Allow us to show our potential. Regards, Marketing Dept. SmartBraiz

32 $ USD en 2 jours
(0 Commentaires)
0.0