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Upload image and take payment form

I would like my customers to have a list of options (3or4) and either send me an image through the post or upload an image and then be passed on to a payment page.

The payment gateway is protx I use vsp form and you can find integration information here([url removed, login to view])

I would like something simaler to this form [url removed, login to view] but perhaps also would like to ask for an address which would pass through to protx.

I can design the site in html but can't do the form.

I would need to know who the uploaded image was from so that i could tie it up with the payment.

Færdigheder: ASP, Cold Fusion, JSP, Perl, PHP

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Om arbejdsgiveren:
( 0 bedømmelser ) Perth, United Kingdom

Projekt-ID: #62771

16 freelancers are bidding on average $58 for this job

PayLater

please read your pm, thank you

$50 USD på 1 dag
(13 bedømmelser)
4.7
EzzatHelal

I am interested in your project. I have done similar project with GAF.

$60 USD in 7 dage
(10 bedømmelser)
4.5
vshree

hi Simple i will do it using asp. Visit my profile for our informations. I have 8+ years of experience in developement and design. Thank you Sandesh M M

$50 USD in 7 dage
(14 bedømmelser)
4.4
aainfo

visit my portfolio

$50 USD på 1 dag
(1 bedømmelse)
3.8
djmx2002

Hey, i will be happy to do that for you! it could be done between 1-2 days hope to hear from you. -Motti

$30 USD på 1 dag
(1 bedømmelse)
1.0
USA

We are a four member strong .Net developer working in top MNC'c like Infosys, Wipro and MBT. having good exposer & experience(more than 5 years) in Microsoft technologies. We are seeking an opportunity in freelance pro Mere

$45 USD på 1 dag
(1 bedømmelse)
2.4
jitz

Sir, I'll do it in ASP/ASP.net Please contact

$50 USD på 1 dag
(4 bedømmelser)
0.2
maanGroups

Please Check the Private Message

$80 USD in 2 dage
(0 bedømmelser)
0.0
proletar

read the PM,please.. thanks..

$70 USD in 2 dage
(0 bedømmelser)
1.3
souvik79

lets do it sir

$100 USD in 2 dage
(0 bedømmelser)
0.0
jcotto

please view PM

$85 USD på 1 dag
(0 bedømmelser)
3.4
donbass2005

Hello. Just tell me what payment system do you want to use?

$68 USD in 7 dage
(0 bedømmelser)
0.0
zgrouzdev

I can do it. Thanks.

$50 USD på 1 dag
(0 bedømmelser)
2.0
WEBGLOW

WebGlow is a customer-specific service oriented company has got an Professional and creative [url removed, login to view] are the Professional Web Development Company having 3 years experience in Web design and development. We are solut Mere

$65 USD in 8 dage
(0 bedømmelser)
0.0
liusz

Dear sir , want to know which program language you want ? I can help you with JSP . I have cleared your requirement , it is very easy . Regards

$30 USD på 1 dag
(0 bedømmelser)
0.0
vusoftIndia

Sir/Madam, VU India software solutions is providing custom web designing & development solutions since 5 yrs. For further details, kindly check PMB. Thanking you.

$50 USD in 2 dage
(0 bedømmelser)
0.0