PHP credit card and info capture

I need a form created that will take credit card information, but NOT process them. (SEE ATTACHMENT) The client will be processing all daily orders manually every evening. So, the site simply takes the order and feeds it to a SQL database. Then, an email is sent to the person that placed the order and one is sent to the client to let them know that an order has been placed. Once the clients receives the email, we need to create a secure page that will display the order information and credit card, shipping info, etc. Also, the client is interested in having the credit card validated? Is this possible without processing? They do it at this site: [url removed, login to view]

I will be designing the page and create the html forms.

The site we are developing is very similar to this:

[url removed, login to view]

Please include total cost for this project, as well as time needed to develop.

Beceriler: PHP

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İşveren Hakkında:
( 46 değerlendirme ) Miami, United States

Proje NO: #133335

8 freelancers are bidding on average $63 for this job


Dear Sir/Mama: I can have this project done tonight. I will use PHP/MySQL for the database information. It is done already (check out the PM). I am from the USA. Thanks, Dennis.

in %bids___i_period_sub_35% gün içinde66%project_currencyDetails_sign_sub_37% %project_currencyDetails_code_sub_38%
(38 Değerlendirme)

Hello, I'm a highly experienced PHP/MySQL developer and I can have this done for you within a few hours of receiving the form design. Please see PMB for more info.

in %bids___i_period_sub_35% gün içinde45%project_currencyDetails_sign_sub_37% %project_currencyDetails_code_sub_38%
(8 Değerlendirme)

I have done this on other sites I have written. What yuo need is an additional form to go to where the customer enters his informastion then submits it. The site then saves it to a database for orders. You need a co Daha Fazla

1 gün içinde %bids___i_sum_sub_32%%project_currencyDetails_sign_sub_33% USD
(1 Yorum)

PHP/MySQL/PAYPAL/[url removed, login to view] Visit PMB

in %bids___i_period_sub_35% gün içinde80%project_currencyDetails_sign_sub_37% %project_currencyDetails_code_sub_38%
(1 Yorum)

I can do it! Please see PM!

1 gün içinde %bids___i_sum_sub_32%%project_currencyDetails_sign_sub_33% USD
(1 Yorum)

Please see PMB!!!

in %bids___i_period_sub_35% gün içinde80%project_currencyDetails_sign_sub_37% %project_currencyDetails_code_sub_38%
(0 Değerlendirme)

Hi we are a team. We done lot of ecommerce, oscommerce, shopping cart sites let me know when i start this work. When you need to finish this work Thank you

1 gün içinde %bids___i_sum_sub_32%%project_currencyDetails_sign_sub_33% USD
(0 Değerlendirme)

Can be done.

1 gün içinde %bids___i_sum_sub_32%%project_currencyDetails_sign_sub_33% USD
(0 Değerlendirme)