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Online form that prints to a PDF file
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IT & Programming > Web Programming

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The client has made the following changes to the job.

Description
Date

Job canceled.

Jul 16, 2012
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Job Description

  |  Change History >>

Updated

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  • Posted: Wed, Jul 11, 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
  • Hourly Rate: $30 - $40 / hr
  • Hrs/wk: Not Sure | Duration: Not Sure
  • Work View™ Payment Protection
  • U.S. freelancers must have W9
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I have an basic online form that needs to be coded using PHP. When the user is done filling in the form then can click "Print PDF" and the form information will be inserted into a PDF file that we already have.

We need a few fields of the form to have basic logic.
- Birth date checker - Make sure that they are above 18
- Unchecked Notification - If the field is unchecked then it will be highlighted.

We need some of the fields to be integrated into the WordPress platform. e.g. In the profile of WP it has Company, and License number. This information would need to show up on the online form.

I can give more information when needed.

Thank you,
Ryan

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Desired Skills
MySQL Administration, HTML, PHP
Job ID: 31890803
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