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5 tier membership sign up page

I need a 5 tier membership sign up page for a web site already up on line with payments to a paypal link.

[login to view URL] Home Page

Please look it over and let me know how much it will take in hours to complete it.

Pureharlem Registration Page on [login to view URL] Home Page

Include Name & Email, & Age (make these mandatory to submit to sign up.)

*Name_________________________________ *Age_________

*Email_________________________ (Email to be verified)

Address_________________________________________

City____________________________ State__________

Zip______________ Phone_______________________

Referral Code[ ] (Box to place 6 numbers)

(All are NOT mandatory to click through to sign up except *Name & *Email, & *AGE.)

Referral Code is a box where the signup can put a number based on who referred them to Pure Harlem

MEMBERSHIP LEVELS:

One month recurring payment and One time Annual payment with check boxes

[ ] Honorary (Approved by Administration)

[ ] Platinum $100. Monthly) $1,000. Annually

[ ] Gold ($60. Monthly ) $500. Annually

[ ]Business ($60. Monthly ) $350. Annually

[ ]General Membership (FREE)

The check boxes go to a PayPal payment page for the desired payment once they hit the submit button.

*(Mandatory to check box for Membership click through)

* [ ] I agree with the Terms of Use and Privacy Policy [hotlink these two pages to the links below ]

TERMS LINK [login to view URL]

PRIVACY LINK [login to view URL]

Please enter image "code box".

[ submit button }

Kĩ năng: Thiết kế trang web, PHP, HTML, Thiết kế đồ họa, eCommerce

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Về Bên Thuê:
( 0 nhận xét ) New York City, United States

ID dự án: #27587034

31 freelancer chào giá trung bình $24/giờ cho công việc này

(1000 Nhận xét)
9.9
(766 Nhận xét)
9.3
(1130 Nhận xét)
9.3
(657 Nhận xét)
8.9
(151 Nhận xét)
8.4
(499 Nhận xét)
8.6
seekdeveloper

Hello, I have read your post and understood your requirement. Looking for the freelancer to work on your next project? Or just need some issues/bugs/fixes ASAP? I have 11+ years of software experience in fortune 500 Thêm

$25 USD / giờ
(140 Nhận xét)
8.9
(199 Nhận xét)
8.7
(429 Nhận xét)
8.2
(207 Nhận xét)
8.0
(200 Nhận xét)
7.7
alifinteractive

Hello sir, Thank you for allowing me to post bid on your project. We have a great team of expert eCommerce/Online Store Developers in New Delhi [login to view URL] have many satisfied clients all over the [login to view URL] already have Thêm

$15 USD / giờ
(159 Nhận xét)
7.7
(53 Nhận xét)
6.9
codemile

Greetings..!! You want to build 5 tier membership sign up page for your community website. I can build this page for you. I will provide you an eye-catchy design using photoshop and make it responsive for all device th Thêm

$25 USD / giờ
(66 Nhận xét)
7.8
mmadi

Hello George H., How are you ? I have read your project description and would like to be considered for this project "5 tier membership sign up page" I have worked with eCommerce, Graphic Design, HTML, PHP, Website Thêm

$17 USD / giờ
(53 Nhận xét)
7.1
servlada

Hi there So, what you want is a signup page + a membership page. So two funcionalities in the back end. I can make that in nodejs, and host it in heroku. All you need to do is to buy a domain name and that's it. Also Thêm

$120 USD / giờ
(39 Nhận xét)
5.5
(24 Nhận xét)
5.3
astonhill

Got it, You need 5 tier membership sign up page? and I completely fit this Project. As I even have 8+ years of experience in it and that I can build WordPress, JOOMLA, Shopify, Open-Cart. Our expertise in HTML/CSS/BOO Thêm

$20 USD / giờ
(29 Nhận xét)
4.9
(26 Nhận xét)
4.6
Taaglio

Hello there! Greetings from Taaglio Consulting! We always read through the project details thoroughly in order to provide our client the best result, your job ad tells me that you're looking for an expert PHP/e-commer Thêm

$20 USD / giờ
(16 Nhận xét)
4.5