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Professional HTML/Graphic Design of Payment Checkout Page

We need a very professional and clean design of 1 page - Payment Form (Checkout page), where customer enters payment and shipping info.

JavaScript coding is not required, but HTML and Graphics design of page must be professional.

Required form fields and sample layout are included in Example (attached HTML file).

Graphic header is needed - something like here: [url removed, login to view]

And the remaining page design should look good.

Compétences : CSS, Conception graphique , HTML, Design de photoshop, Design de site internet

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Concernant l'employeur :
( 10 commentaires ) Belize City, Canada

N° du projet : #1068610

Décerné à :

ssinfotec

Please check the PM.

65 $ USD en 2 jours
(61 Commentaires)
5.5

14 freelance ont fait une offre moyenne de 141 $ pour ce travail

anuj20071

pls chek pm

127 $ USD en 2 jours
(46 Commentaires)
6.0
dinhtoan

i can do it.

250 $ USD en 2 jours
(69 Commentaires)
6.0
xaba

Hello, Please check PMB for more information. Thanks

140 $ USD en 4 jours
(35 Commentaires)
5.3
honeyweb

Hi, Please check your PMB to know us. We are interested in this project and looking forward to it. Regards, Mdhu

100 $ USD en 7 jours
(53 Commentaires)
5.2
salam786

Hi, Thanks for your posting. Please check your PM for details. Just see my design quality first and then decide. We have outstanding team here. Our Team PHP/Joomla/WP/ developer: 6 .Net Developer: Plus

250 $ USD en 7 jours
(6 Commentaires)
3.0
ShamaJaan

Hi there,let's start the work.Please check your pm.Thanks!

160 $ USD en 1 jour
(3 Commentaires)
2.6
william83

I am ready for your requirements. A good day

120 $ USD en 5 jours
(0 Commentaires)
0.0
ibexinfolabs

ready to do this project

105 $ USD en 4 jours
(0 Commentaires)
0.0
Bayzidbd

Please give me this work. I will try my best to do this job in better way.

130 $ USD en 2 jours
(0 Commentaires)
0.0
designdirect

Please check our PMB

125 $ USD en 2 jours
(0 Commentaires)
0.0
vilfred

Hello, Please check your PMB to know us more. Regards, Vilfred

150 $ USD en 3 jours
(0 Commentaires)
0.0
mujahidawan01

I can do that.

120 $ USD en 5 jours
(0 Commentaires)
0.0
harshadananjaya

Hello! pleas check the pm

30 $ USD en 4 jours
(0 Commentaires)
0.0
shahidali788

I have 6 Years Experience in this Field. and i am new in this site.

200 $ USD en 5 jours
(0 Commentaires)
0.0