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Create functional HTML Sign Up Form from Microsoft Word Document
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IT & Programming > Website Design

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The client has made the following changes to the job.

Description
Date

Job awarded.

May 1, 2012
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Job Description

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  • Posted: Tue, May 01, 2012
  • Time Left: Closed
  • Location: Anywhere
  • Client prefers freelancers from:
    Anywhere

    You are still able to submit a proposal for this job.

    The client prefers freelancers from
    a different location.

    You're still able to submit a proposal for this job, regardless of your location.
  • Start: Immediately
  • Budget: Not Sure
  • Fixed Price Job
  • Elance Escrow Protection
  • U.S. freelancers must have W9
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I have attached a static Microsoft word document that I need created into a functional HTML page. I want my users to be able to select their preferred background, enter their information into the form, and be able to submit it all online.

I need two different forms actually to accommodate for two different products. I have a PRO and a STARTER package that needs it's own form; this way when someone purchases the PRO package, they will be immediately redirected to the PRO signup form. I create mini mobile websites, so I need to know exactly what they want on their page. If someone purchases the STARTER package, I don't want to send them the PRO because there are features in the PRO that do not exist on the STARTER.

The STARTER package contains everything in white, the PRO consists of everything in white PLUS the fields highlighted in green.

Instead of requiring everyone to email me their information, I would like to give them the opportunity to upload their information righ...

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Job ID: 30247272
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Delivery
Within 1 week
$219.18
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