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Hosting Site - Simple Form

I have a hosting site at [url removed, login to view] which has got new servers and design.

I want someone to implement a form on the order hosting page that does the following:

1) Has fields for

Name:(text field)

Username: (text field)

Password: (text field)

Plan: (drop down box)

Paypal Email: (text field)

Contact Email: (text field)

And submits the above form information to my email and then continues to PayPal send payment.

Anyone who can implement a payment process to my site (secure) without PayPal would be preferred !

Please note this site has just started up so bid's will be chosen as lowest and best.

Thank you

Beceriler: C Programlama, Perl, PHP, Web Güvenliği, Web Sitesi Tasarımı

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İşveren Hakkında:
( 38 değerlendirme ) Wakefield, United Kingdom

Proje NO: #10262

11 freelancers are bidding on average $50 for this job


Please View PMB.

1 gün içinde 20$ USD
(144 Değerlendirme)

Ready to start.

1 gün içinde 50$ USD
(26 Değerlendirme)

I am the owner of a web hosting company so I know how this works. It'll be easy, contact me!

1 gün içinde 30$ USD
(3 Değerlendirme)

We can do a standard form for prob...using paypal and small admin panel for management....

1 gün içinde 20$ USD
(11 Değerlendirme)

This is not too hard. I have stated 3 days but this is maximum. I have much experience and can sort you out with a professional looking enquiry page. Let me know if you still need help Thanks James Marchant

in 3 gün içinde50$ USD
(1 Değerlendirme)

See what I did on the DVD order page for I can customize that to add your details....

in 2 gün içinde60$ USD
(1 Değerlendirme)

Please check Private Message Board. Thank you.

1 gün içinde 20$ USD
(0 Değerlendirme)

we can do it.

in 5 gün içinde100$ USD
(0 Değerlendirme)

Hello, I am working as a sr manager with a product company having 13 yrs of exp. I am freelance developer too. Just completed a back-end implementation for PayPal for selling our products (downloadable in e-form) on Daha fazlası

in 5 gün içinde80$ USD
(0 Değerlendirme)

Hello will take only one to make it and only one hour to upload on your server , i have 80% work complete , so contact regards jack

1 gün içinde 20$ USD
(0 Değerlendirme)

we have already done these kind of [url removed, login to view] check the link::[url removed, login to view]:: regards ::Sommet Gr Team::

1 gün içinde 100$ USD
(0 Değerlendirme)