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SVery simple PDF settings changes

Hy i have this form attached. I need the following:

each fields name is default inset.. and when i try to insert the real dates i must select and then delet the name field.

What I want

1. is when i start typing into the fields, the field name to disapers automatically, not to select and then delet...

2. the date field is set up to "date"...I need to insert the text DATE as default value not "01/01.2014", also keeping the date mm/dd/yyyy format

I need this in 15 min max after awarding....

price 10 $... bid only if you can do it NOW and deliver after max 15 min

Færdigheder: PDF

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Om arbejdsgiveren:
( 7 bedømmelser ) Ploiesti, Romania

Projekt-ID: #6030984

4 freelancere byder i gennemsnit $16 for dette job

mkdoluweera

Hi sir, Give me a additional file in your project. Please check my portfolio and reviews, [url removed, login to view] Thank you..

$30 USD på 1 dag
(25 bedømmelser)
4.9
NEEMISH

A proposal has not yet been provided

$10 USD på 1 dag
(11 bedømmelser)
2.9
zobaer07

A proposal has not yet been provided

$10 USD på 1 dag
(0 bedømmelser)
0.0
Ajooo

Hi I I am graphic designer, I have good working experience last 10 years, I assure my work is enough for your satisfaction because our work is not only for customer that work also represents [url removed, login to view] give work with qu Mere

$15 USD in 0 dage
(0 bedømmelser)
0.0