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Create PHP Form with paypal button, submit information to MSSQL Database

$95-100 USD

Completed
Posted over 14 years ago

$95-100 USD

Paid on delivery
Create validated form with the following fields, separated into 5 sections, once the customer enters the required info and clicks pay now, the information is stored in the database and user is redirected to paypal payment page. Database also needs to be created. CUSTOMER Name* Address Email* Password* Password again* Mobile* Home Work* Fax VEHICLE Year* Make* Model* Last 6 of VIN Color* Lease/Finance/Own Yearly Miles Driven* GARAGE Name* Address* Telephone* Contact INSURANCE COMPANY Name* Telephone* Policy # * OTHER Approximate Mileage Vehicle Registration Number Expiration Date[Month and Year]/Class Vehicle Inspection Number Expiration Date [Month z and Year] Last Scheduled Maintenance If OTHER information is not immediately available, please call your Garage, to inform that we will call for the information. Select desired package (or both):* package 1 - $1295 package 2 - $2495 Pay Now Button ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Deliverables must be in ready-to-run condition, as follows? (depending on the nature? of the deliverables): a)? For web sites or? other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment. b) For all others including desktop software or software the buyer intends to distribute: A software? installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request. 3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform PHP, Microsoft SQL server database, html, css
Project ID: 2944596

About the project

3 proposals
Remote project
Active 14 yrs ago

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$85 USD in 13 days
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About the client

Flag of UNITED STATES
New York, United States
5.0
122
Payment method verified
Member since Mar 18, 2007

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