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PHP Form Submitter ROBOT

Hi,

I need a script that get 2 thing from the user in a form.

1. VPS OR DED

2. Their server main ip address

then after filling form and submit it ask them to pay with e-gold. if their payment was successful (should check with a call back system) submit some variables like IP and VPS or Ded to the other website's form and fill the variables with user filled data and some static datas that i always use.

then when the form submitted successfully Say to User , sth like ok!

note:

1. I need a simple coupon system too to get some users discount (no admin panel needed i can add it with phpmyadmin!)

2. i don't need to design it for me ! just a simple text box and button is enough ! i will design it

[url removed, login to view] of our site's services is monthly so cms should tell users 10 days before expiring their service to came and renew their service +

when its expired should let me and the user know

4. a renewal system (that should send again to that website the same details) is needed.

5******. IT can be a WHMCS Plugin !! and i think it would be better for you and me to be it

MAXIMUM BUDGET : 35$

[removed]

Thanks,

Færdigheder: PHP

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Om arbejdsgiveren:
( 0 bedømmelser ) Herning, Denmark

Projekt-ID: #267295