1. I need a forum creation script, where I can add name, dob, etc. (see attachment)
2. These fields need to fit in the [url removed, login to view] landscape size
4. See attachment for the setup. I am not sure about the exact placements, therefore, I need to be able to fix that, since I do not have an actual copy of the form in my hand.
Please PM me with your quote and time frame.
15 freelancers are bidding on average $63 for this job
think thats easy - can do that in php - if you have the target from as html sample its done in an afternoon - you can scan the sample 1:1 - then we make it an html . . can start asap - mhwse - US centraltime
Can give you web form with a printable result of the values entered. placement of the values/ fields can be made adjustable visually by drag and drop type of editor. contact me if you are interested