Single Page Payment Form - PHP



I'm looking for someone to create a single page payment

form (with css, centered 70% screen) that can post payments

to [url removed, login to view] and write out the user data to a flat file

(pre-pended or one per customer is ok).

Our NOC guys will make necessary changes to push the

data to a secure SQL server before it goes up.

This code is a redo to uncomplicate an eight year old

interface. One of our main goals is to pretty it up

and simplify what we have.

This is going to read sloppy but I'll try to get it all

into this edit box.

Procedures to implement:

Pre-color the background of the Fields, and do fields

checking (javascript?) for abnormal / missing entries,

auto-clear any "text" on entry into the fields.

A live E-mail account check would be good, but is not a

must have.

The post to Authorize net needs open an secure (SSL) link, on

return evaluate AZN's code for approval, declined, address

mismatch street/zip, cvv mismatch.

After eval, fork to display the user-correctable errors

(try a different card, Insufficient funds, ect) in text -

preferably on the same page, a consideration here is keeping

the customers already entered data(probably not the CC data).

On successful evaluation of the return (payment good) we

must create an 8 character user ID and 8 char. password,

this is not a customer option.

Once the UID / PW pair is created, we send an https OR http

post to another server to establish the account.

The second server will return a result to evaluate,

we need to keep the previous stuff so we can show the

customer a receipt along with his account UID/PW, write

the data to the file.

We need then format that servers return string into a

"success" page for the customer. If it fails we then

send email (windows machine E-mail app, AND unix need

to be supported) to an admin@ address.

A "thank you" email goes to the customer, and

"order placed" details to a sales@ email address.

Form fields.

All fields are required. NO popup boxes.

Bring the errors foward on the form or return

the page with colored + underlined text, once

per item.

(Generate an Invoice or Order ID #)

Invoice # (required)

First Name (required)

Last Name (required)

Billing Address1 (required)

Billing Address2

City (required)

State (required)

Zip (required)

Phone Number

Email (required)

country selector?

Break for logos & Authorize Net Seal and SSL Seal

Credit Card Type (MC/Visa/Discover) (required)

Credit Card #

Credit Card Expiration

Credit Card CVV Code

Three check boxes - user must tick to proceed.

"I have read the terms"

"I agree to agree"

"One more important thing"

Submit button.


declare footer


I set the price range $250 - $750, but honestly this can be

done pretty quickly, be kind! :)

Overall, the smaller presentation is better, use inline or

external css, no specifics on colors other than the back

face of the form fields.

Thanks, Mark L.



Kemahiran: AJAX, Javascript, PHP, Reka Bentuk Laman Web

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Tentang Majikan:
( 0 ulasan ) Leon Springs, United States

ID Projek: #330649

24 pekerja bebas membida secara purata $420 untuk pekerjaan ini


Get it done... Thanks

$350 USD dalam 4 hari
(645 Ulasan)

Hi, I can code this page for you. Lets start :)

$299 USD dalam 2 hari
(672 Ulasan)

I can offer my high quality web programming services to you. Please contact if interested.

$320 USD dalam 2 hari
(139 Ulasan)

pls chk pmb

$350 USD dalam 3 hari
(790 Ulasan)

************************************************************************.. YOUR SEARCH ENDS HERE .. ************************************************************************************ Get it done professionally and g Lagi

$399 USD dalam 2 hari
(131 Ulasan)

Hi, Please view PMB for more details. Thanks.

$700 USD dalam 7 hari
(70 Ulasan)

Please check PMB.

$300 USD dalam 5 hari
(81 Ulasan)

Dear Sir, I am interested in your project and can be done with your 100% satisfaction. I request you to check your PM for our quality work. Progress Report Daily + Dedicated Team + You can reach team Via Email, Yahoo, Lagi

$250 USD dalam sehari
(91 Ulasan)

Hi Mark, Please open PMB for more discussion,the project specification is ok with us. Thanks KD

$400 USD dalam 7 hari
(52 Ulasan)

Hello Sir, Please see the PM. Thank you. with regards zub

$350 USD dalam 7 hari
(96 Ulasan)

can be done.

$300 USD dalam 3 hari
(86 Ulasan)

hello, pl. check pm to view more. regards

$320 USD dalam 5 hari
(35 Ulasan)

Please check my PMB

$550 USD dalam 15 hari
(3 Ulasan)

I offer over 30 years electronic design experience, hardware, firmware, special applications software. In the last several years I have branched out into website development (ie, software development). For examples see Lagi

$700 USD dalam 10 hari
(1 Ulasan)

*** satisfaction guaranteed ***

$250 USD dalam 3 hari
(6 Ulasan)

I have more than 6 yrs experience having worked for multinational corporations. I can show you samples of my previous work if you want.

$500 USD dalam 7 hari
(5 Ulasan)

I have written many custom [url removed, login to view] handlers. Should take 4-5 hours. It may just be $200 depending on how slick you want the form. I can add in some AJAX to make it nice.

$250 USD dalam sehari
(2 Ulasan)

Hi, I just reviewed your bid request and I beleive that my team and I can deliver your required solution aptly and professionally. Feel free to contact me about any issues/clarifications you might have or if you nee Lagi

$500 USD dalam 7 hari
(0 Ulasan)

i have wide experience using authorize.net. SIM / AIM API's. this can be done quickly. please send more details if interested in my service.

$450 USD dalam 3 hari
(0 Ulasan)

I can provide you clean and stable code with detailed commenting. :|

$500 USD dalam 7 hari
(0 Ulasan)