I need to have a form designed that will be implemented in a Vbulletin 5 platform that will allow a person to sign up for a club membership.
All of the input fields listed are needed, and they need to be in the order given.
Must be able to accept a signature or confirmation field for acceptance.
Must be able to use PayPal as the payment method.
Must be aboe to send to 3 to 4 e-mail recipients. E-mail addresses must be configurable.
Must send a receipt with all of the form data to the original person that submitted the form.
Must be able to be configurable by the webmaster to modified if needed at a later date.
Note, the sections that say: “New Members --> Race Number Requested: List your 1st, 2nd, 3rd & 4th choices” AND “If choosing a new non-top 25 number, enter your 1st, 2nd, 3rd and 4th choices here. It would be nice to have 4 separate input boxes for each number input, but not required.
I have a mock-up located here that I made on jotform.
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Please inquire if you need further clarification on this project.
21 freelancere byder i gennemsnit $147 på dette job
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