İptal Edildi

A payment notice form

I'm a hosting provider and need a payment notice script.

Here's what I want:

1). Informations will send to my E-mail box.

2). Three pages.

3). A simple neat template.

First page includes:

1). Customer's name. (No need to separate First & last)

2). Contact E-Mail.

3). Choose a packge. (Drop down)

4). Telegraphic transfer or paypal. (Cheek box)

5). If chosed telegraphic enter your account's last 5 numbers.

6). If chosed paypal enter your paypal account.

7). Payment date, time and ammount.

Cheek: ALL FORMS MUST BEE FILLED!!

NEXT>>

Second page includes:

1). Username your want. (Max 6 letters)

2). Password your want. (Re-enter)

3). Use my domain or plaese give me a free one. (Cheek box)

4). Enter the domain for your account.

5). Use our free domain. ([url removed, login to view])

Cheek: ALL FORMS MUST BEE FILLED!!

SUBMINT>>

List all the informations.

Put a "Go back and edit to both pages" buton, Send.

I need this script within 2 days.

Beceriler: PHP

Daha fazlasını görün: paypal transfer time, paypal pending payment, neat letters, want domain transfer, three form, paypal account name, edit paypal account, payment page, payment form, no payment, letters a, form mail php, notice, php customer form, transfer max, edit contact form, paypal domain, form edit, last payment, paypal simple payment php, payment transfer, customer payment, php simple mail form, form pages, username mail

İşveren Hakkında:
( 77 değerlendirme ) Taipei, Taiwan

Proje NO: #19159