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Health Plan Simulator

I need a simple Health Plan simulator. If you know Javascript It should not take more than 1hour to do.

Here is what I need: [url removed, login to view] (of course this form is totally messed up, I want something better)

When people fills that form and click the button, a value will be showed, so the user will know exactly how much he/she will have to pay.

I'll provide the values.

Doing a admin area (so values can be easily change) will be awesome, but is not needed (you'll just need to tell me how can I do that)

As Simple As That to be done As Soon As Possible

Kỹ năng: HTML, Javascript

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Về Bên Thuê:
( 5 nhận xét ) Campinas, Brazil

Mã Dự Án: #1078926

Đã trao cho:

danieloraca

PMB first please.

$50 USD trong 0 ngày
(32 Đánh Giá)
4.7

11 freelancer đang chào giá trung bình $56 cho công việc này

lsweb

Hello. Please check your PM. Thanks.

$35 USD trong 1 ngày
(80 Đánh Giá)
6.8
tonykim100

Hello sir! Please check PMB.

$30 USD trong 0 ngày
(100 Đánh Giá)
6.0
php4world

Hello! Please check your PMB.

$35 USD trong 0 ngày
(51 Đánh Giá)
5.9
sriraj1233

PLEASE CHECK PMB

$30 USD trong 0 ngày
(72 Đánh Giá)
5.4
a4ren

I am really interested to do this [url removed, login to view] check your PM.

$100 USD trong 2 ngày
(2 Đánh Giá)
3.2
Artistontheroll

i will deliver on time if u give the chance....

$200 USD trong 3 ngày
(0 Đánh Giá)
0.0
Algotrade

Please see the PM for more details.

$30 USD trong 0 ngày
(1 Đánh Giá)
0.0
andleigh007

I know java script well so please give me this project.. I will give my best

$50 USD trong 2 ngày
(0 Đánh Giá)
0.0
nitrup

looks simple, just tell where you actually want to show values.

$30 USD trong 1 ngày
(0 Đánh Giá)
0.0
dotnetguruvn

Check your PMB please

$30 USD trong 0 ngày
(0 Đánh Giá)
0.0
webdeon

Hello, I can do it quickly. See PMB please.

$30 USD trong 1 ngày
(0 Đánh Giá)
0.0