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Paypal Order Form

I want to create a paypal order form whereby, before somebody makes a purchase they have to include their Name, Email and some other variables. Basically, things that are not included in standard paypal info.

I would then like this info to be emailed to me.

This is what I want it to look like

[login to view URL]

In the payment details section, I would like for the user to add in their credit card or paypal account details.

I would also like for something similar to this date image.

[login to view URL]

Once the user has made payment, they are taken to a confirm page. Similar to this: [login to view URL]

Once confirmed they are taken to paypal, once payment has been made they are redirected to a thank you page.

I will finalize what I would like the form to look like and what needs to be added with the coder, but that's the basics.

Also, this is what the email I receive should look like:

[login to view URL]

Habilidades: Entrada de datos, Instalación de scripts

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Información del empleador:
( 3 comentarios ) Adelaide, Australia

Nº del proyecto: #184904

Adjudicado a:

sanjay2004

View PM for details

$100 USD en 5 días
(53 comentarios)
7.5

5 freelancers están ofertando el promedio de $65 para este trabajo

lightcresent

Will give PayPal sandbox testing along with PayPal IPN system to accomplish this... Thanks

$60 USD en 0 días
(45 comentarios)
6.6
globaltechnosys

Hi! I am really interested in taking up the project. I have the requisite experience and the expertise to complete this project with success. Please view my PM for details. Thanks. Regards. GLOBAL TECHNOSYS

$75 USD en 1 día
(17 comentarios)
5.1
kopila123

please view pm

$40 USD en 1 día
(15 comentarios)
4.9
gnanasekaranjobs

IT Enabled Services - Our Man Power • 30+ Personnel • Highly skilled and experienced personnel, well conversant with English language • Round the clock work in 3 shifts on 24/7 basis. • In-house technical suppor Más

$50 USD en 1 día
(0 comentarios)
0.0