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166240 Add Fields to Form & MySQL DB

Here is the page where we need the fields added:

[url removed, login to view]

We need the following fields added under the email field:

Address

Apt. (if any)

City

State*

Zip

Date of Birth: Month* Day* Year [ ]

This information has to go from this form into our DB.

Thanks!

*Drop down menu...we can supply if needed.

Kỹ năng: Bất kì công việc gì, MySQL, PHP, SQL, Thiết kế trang web

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Mã Dự Án: #1912433