I require someone to create a basic web form

Hi I would like a basic web form created.

[url removed, login to view]

enter there username and email address. and first and last name..

That is stage 1 complete then they move to stage 2..

They then need to enter there address and postcode and confirm there email address, then they move to stage 3, they then enter a moto which is 60 words of there choice then they enter the kimo moto2.

They then need to digitally sign by entering the first and seconds name.

once done they go to stage 4, they then should see a price of £1.00 and paypal buynow button all done nice and neat within the theme of our website.

They then MUST purchase this for £1.00 and once done sent back to the form to click complete.

Once they click complete they get a message saying thanks for your payment your form has been sent successfully.

The info what they typed should be generated onto a blank .jpg image form that I have attached.

We are then sent this form to our email address....

Please only bid if your english is good and you can do this today.

Compétences : HTML5, JavaScript, PHP

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Concernant l'employeur :
( 28 commentaires ) newcastole, United Kingdom

Nº du projet : #7627286

Décerné à:


Hi. looks like a 4-step checkout page. I don't know german, but I can do it, not a problem. . . . . . .

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(12 Commentaires)

6 freelances font une offre moyenne de 153 $ pour ce travail


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

Hello, I am Aakash from NeekWeb Software Solution ([login to view URL]) I`ll be glad to work on your project. You can test my work quality through the samples of my previous projects, in which I`m success to satisfied Plus

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Hi, I am vijay from chennai, India. I am having 5 years of work experience in PHP web development. I did many ERP web applications and e-commerce websites with admin panel. I worked on many projects independently and Plus

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Hi ! I am interested in the project can we discuss it further ?

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