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225892 Paypal Donation Form

I need a simple Paypal Donation Form that captures the following fields

TEXT INPUT FIELDS:

Name

Organization

Office Phone

Cell Phone

Email Address

Comments

CHECKBOX

Pay registration fee now with Paypal

I need the form for PHP and ASP. I also need to be able to add other fields if necessary and I want it so that if they check pay registration fee they are taken to paypal to pay $xxx amount of dollars to a paypal address. I will fill that in.

I want the form results emailed to what address I specify.

Kemahiran: Semua Boleh, ASP, PHP

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Tentang Majikan:
( 19 ulasan ) Auburn, United States

ID Projek: #1972129