Credit Card Form for site

Закрито Опубліковано %project.relative_time Оплачується при отриманні
Закрито Оплачується при отриманні

I have a very simple credit card application on my site that can be downloaded by customers as a PDF. The must fill it out and Fax it back.

I want to make it more user friendly. I want it to look like this: [url removed, login to view] It should be a four step process just like this site but customized to my site, not an exact replica. All information from form must be sent to my company email address.

AJAX JavaScript PHP Архітектура ПЗ

ID Проекту: #1514886

Про проект

11 заявок(-ки) Дистанційний проект Остання активність May 25, 2012

11 фрілансерів(-и) готові виконати цю роботу у середньому за $114

toinnisfree

pls chk pmb

$135 USD за 2 дні(-в)
(561 відгуків(и))
7.9
LuigiWidmore

Hi sir , My name is Luigi Widmore and i'm an expert web developer. My areas are HTML/CSS PHP/MYSQL Design/Photoshop. I can deliver this project in 5 days or less. Please check PM for details , you may be impresse Більше

$99 USD за 5 дні(-в)
(82 відгуків(и))
6.2
mhanif

Dear Employer, please have a look at my message.

$150 USD за 2 дні(-в)
(93 відгуків(и))
5.8
amfahsoft

Hi! Just read your post regarding the Adding content Job, I am experienced developer,I am offering my services to do this job. Looking Forward to hear from you. Best Regards

$82 USD за 4 дні(-в)
(34 відгуків(и))
4.9
SiMka85

Hi! Ready to start now!

$79 USD за 2 дні(-в)
(29 відгуків(и))
4.7
sunsriinfosys

Hi, I have over 13 years of Experience in software design, development and implementation of various commercial applications in Client/Server environment, Web and ERP applications using C# 1.1/2.0/3.5, ASP.Net, VB.N Більше

$75 USD за 2 дні(-в)
(7 відгуків(и))
3.7
msajaynath

Please check pmb for details.

$30 USD за 2 дні(-в)
(2 відгуків(и))
0.0
Jq5ER17aB

Check PMB please.

$250 USD за 1 день
(0 відгуків(и))
0.0
haak

H.A.A.K Technologies Ltd., is an IT development company providing Windows and Unix applications development/support and project guidance. The mission of H.A.A.K Technologies is to provide the highest quality service Більше

$110 USD за 5 дні(-в)
(0 відгуків(и))
0.0