Registration form with Credit Card Processing and Admin Panel

We want to redo our current form: [login to view URL]

It is a basic Registration Form, with radio buttons, drop down menus, and Credit Card processing using our Quickbooks Merchant Account (not paypal, REAL credit card processing)


The form will have the same information it has in the link above. Student will list their name, email, contact, and select their type of class. The type of class will have different payment amount and different choices to select.

The form will do the following:

1. Contain Captcha to block spam

2. Show a Registration Complete page after credit card as been processed.

3. Will send the student an email confirmation

4. Will send us a confirmation

5. Student will be entered into database, and Admin Panel

6. Admin Panel will show all registered students

7. Admin panel will allow me to Edit the Registration, the dates, etc.

8. The admin panel will allow me to send the student a confirmation after I edit or change their class or dates

9. I will be able to send a confirmation to the Instructors as well

I want to see forms you have created. No BEGINNERS. If you do not have completed working forms to show me, we are not interested.

Please do not send us your websites to look at. We only want to see forms that you have created.

If this is missing, we will delete your proposal.

If you have read this, keyword I will as for is Monkey!

Please give us an HOURLY rate (since this could lead to a long term project) and a fixed rate to complete this Form.




MUST SHARE LINKS TO FORMS! NOT WEBSITE>>> I want to see the FORMS you have designed and created. NO LINK... NO JOB

Evner: HTML, MySQL, PHP, Web Design, WordPress

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Om arbejdsgiveren:
( 2 bedømmelser ) Santa Monica, United States

Projekt ID: #18083967

10 freelancere byder i gennemsnit $78 på dette job


Hi , custom payment form [login to view URL] (this is user end) , (use name : Anish Raj Pandit, class 2) admin can also fill payment from backend with more features https://aceresid Flere

$277 USD in 10 dage
(174 bedømmelser)

We have complete expertise in PHP/MySQL, Codeigniter, Angular Js, Html5/css3, Javascript, Jquery, ajax, Wordpress(CMS), Bootstrap, converting PSD to Html, landing page designing with responsive design etc. Previous Ex Flere

$70 USD in 5 dage
(262 bedømmelser)

Keyword: Monkey! Hi mark! Did go through your Job Description and glad to share that I have experience in working with payment gateway and API integration platform. I have more than five years of industry exper Flere

$30 USD in 2 dage
(132 bedømmelser)

Hello how are you? My skills are: HTML, MySQL, PHP, Website Design, WordPress Cheers, Dimitrije. Please Send me a message so that we can discuss more about this project

$60 USD in 5 dage
(63 bedømmelser)

Monkey! Hi there i read your request to build registration form with credit card. I am here to help you make it. Feel free to replay we can discuss further. Regards:[login to view URL]

$58 USD in 10 dage
(34 bedømmelser)

Hi, Hope my experience will help me to work with you. I will do the work as per your requirement,could you please give me chance to work with you. Few url i have given below. [login to view URL] Flere

$60 USD in 10 dage
(17 bedømmelser)

dear I checked your post carefully I can do that perfectly Please contact me and discuss more Thank you.

$50 USD på 1 dag
(19 bedømmelser)

Hello. My name is Alexander . I am a core PHP developer. I specialize in database driven, fast and dynamic websites. I design everything from scratch and additionaly use open-source software to complement th Flere

$72 USD in 10 dage
(5 bedømmelser)

Hy ! I have read your project description .I have the required skills in this technology to do [login to view URL] satisifaction will be my first priority. I will stay in touch with you during the whole project . I have skill Flere

$61 USD in 7 dage
(1 bedømmelse)

I will create same as ur sample registration form. And will modify 3 time free as u demons. by using bootstrap html css php and mysql ... if u want in core php or laravel framework . I have experience in all.

$45 USD in 2 dage
(0 bedømmelser)