I need some one to create a form in PHP to send the results to SQL based.

Selesai Dipasang Feb 20, 2013 Dibayar saat pengiriman
Selesai Dibayar saat pengiriman

this is what I need, a form where I can fill up all this information then submit. it into my SQL.

I want to record all the deposited checks in the database, by month. also search for existing customers, and be able to see picture ID, and doc info if there is any.

Name:

Last name:

Address:

Phone Num:

Company Name:

Comp. Phone Num.:

Type of check: Commercial, Personal, Government ( Multiple choice or cascade)

Amount:

Fee:

MySQL PHP Perancangan Perangkat Lunak

ID Proyek: #4263971

Tentang proyek

8 proposal Proyek online Aktif Feb 20, 2013

Diberikan kepada:

tonyshaeeb

I am confident.

$45 USD dalam 2 hari
(7 Ulasan)
3.0

8 freelancer rata-rata menawar $74 untuk pekerjaan ini

joomlamanager

I can get this done

$70 USD dalam 1 hari
(84 Ulasan)
6.0
onlymaj

hi.i'm a web developer with more than 4 years experience in this field.i'm ready to start if you're interested !

$100 USD dalam 3 hari
(7 Ulasan)
3.8
topworkerbd

Ready to work

$30 USD dalam 0 hari
(9 Ulasan)
3.4
orgglobe

OrGlobe Solutions

$50 USD dalam 0 hari
(8 Ulasan)
3.3
Moniservices

Dear Sir/Madam, Thank you for the opportunity to submit our proposal for your project "I need some one to create a form in PHP to send the results to SQL based."Enclosed please find PDF PROPOSAL FOR all information Lebih banyak

$140 USD dalam 4 hari
(1 Ulasan)
1.4
LemonDev

Quickly and easily done, an easy task.

$150 USD dalam 3 hari
(1 Ulasan)
1.3
sismaster

i can do this sir lets start i am waiting for your reply

$50 USD dalam 1 hari
(1 Ulasan)
1.1