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Picture Form to PHP online.

I have attached a form. I want it functional on my website when I access a page for example [url removed, login to view]

These fields must be editable and check boxes can be checked and unchecked by clicking them.

There must be an easy way to edit this form by using dreamweaver or any other software which supports mac.

Convert the same form as PDF file also

I have scanned and edited this form in fireworks. So that is all I need.

Please have a look at the attached file.

I need it before 01.01.2013.

Can pay 100 USD. Max.

Kemahiran: HTML, PHP, PSD kepada HTML, Reka Bentuk Laman Web

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Tentang Majikan:
( 0 ulasan ) Oslo, Norway

ID Projek: #4061743

8 pekerja bebas membida secara purata $96 untuk pekerjaan ini


Hi Khaver, Good day! I can do this. I do have a couple of inquiries so please check your PM for more info. Thans!

$100 USD dalam 10 hari
(300 Ulasan)

Experienced web developer here. Ready to complete this form in php as well as in PDF Thanks,

$100 USD dalam 2 hari
(56 Ulasan)

hi will get you that doen within 24 hours

$100 USD dalam sehari
(34 Ulasan)

Hello, Greetings of the day. We are professional Web Development team and can do it in 1 day once you approve the bid. We are having a query that POsting in Private Message. Awaiting your favorable response an Lagi

$89 USD dalam sehari
(23 Ulasan)

i saw the form image. and i am the fastest one to make your form.

$100 USD dalam 4 hari
(19 Ulasan)

Hi sir, I have experience in this field of 3 years in Php,Mysql,javascript,html and [url removed, login to view] you given me this oppurtunity i will deliver in quality and in [url removed, login to view]

$100 USD dalam sehari
(4 Ulasan)

i can do your job very soon.

$100 USD dalam 4 hari
(1 Ulasan)

Hi, I can do your work. thanks

$75 USD dalam 3 hari
(0 Ulasan)