Hi All -
I need a web form created that looks like the attached PDF document - in 24 hours time. Obviously some parts of this PDF do not apply, like credit card information since that will be on paypal. I also need paypal buttons integrated so users can purchase the items through a standard basic paypal username that I will give you. An email should be sent when an order is placed as well.
[url removed, login to view] is where the form will go.
I only have a $50-75 budget for this so please bid accordingly. This will lead to more consistent small jobs for the right candidate.
PLEASE ONLY BID IF YOU CAN DO THIS WITHIN 24 HOURS!