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Request an Appointment from [url removed, login to view]

i need a simple form , same as you can view here [url removed, login to view],,intPageID=89&blnPrinterFriendly=0,[url removed, login to view];SessionID=&CTRN=&OFFICE=&CampaignID=030342&CampaignExtension=004452&LeadSource=pru.com&LeadType=Appt&MainProductType=&UserID=

and after click "submit" , all the info will be sent to database.

and i need an "admin" page where i can view the registered customer in good manner.

i'll pay using paypal.

Kỹ năng: PHP

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Về Bên Thuê:
( 0 nhận xét ) Alor Star, Malaysia

Mã Dự Án: #58374

Đã trao cho:

Maestros

Plz check PMB

$30 USD trong 2 ngày
(95 Đánh Giá)
8.4

5 freelancer đang chào giá trung bình $76 cho công việc này

mxicoders

Thanks for taking the time to review our bid At MXicoders. We specialize in providing total e-commerce, e-business and branding solutions to small and medium size business worldwide. We are selective about the jobs Thêm

$70 USD trong 2 ngày
(19 Đánh Giá)
6.3
armonitoring

We are the fastest growing Indian Enterprize in providing customised business software solutions to Global Clients. Our unique and inherent technologies include RFID,Web based Monitoring and Mobile Application Developm Thêm

$80 USD trong 4 ngày
(1 Đánh Giá)
5.0
geekyguy

can be done.

$100 USD trong 3 ngày
(1 Đánh Giá)
2.1
vandanapadala

We like to work for you on this project. We look forward for your positive reply. Thanks, Regard's, Vandana.

$100 USD trong 2 ngày
(0 Đánh Giá)
0.0