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Secure Payment Form

I need a payment form that is secure where people can make donations and stay on my site.

I need that data collected in a Database that I can access as a Excel CSV file ..

Here is an example ... I want it to be like this ...

[url removed, login to view]

Here are the details

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1- I need people to stay on my site and make a donation via paypal payments pro.

2- I need that data to go to a database where I can access basic information

Name, Address, Email Phone, City and State

3- If the amount they are donating is $[url removed, login to view] or more .. I need another form to show up below (but only triggered if the amount is $[url removed, login to view] USD or more)

For their occupation, Company name, Company Address, Company City, Company Phone ..

4- I need this asap .. I want to see examples of your work .. This needs to be turned around right now ..

Please bid ..

Færdigheder: eHandel, jQuery / Prototype, PayPal API, Indkøbsvogne, Web Design

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Om arbejdsgiveren:
( 1 bedømmelse ) Brookfield, United States

Projekt-ID: #971297