Creat a third party website form filling......

Avg Bid (USD)
$7 / hr
Project Budget (USD)
$2 - $8 / hr

Project Description:
Hello, i want to create a replica of a form that is available on another website but the form is in dynamic nature so want to change it on my side as it changes on the parent website.
i wants to done it in a simple way so that user have to fill the form on my side like a fill-able PDF format or any other way and the information needs to b available to me for further processing.

See the attach file for further details

Hours of work: Unspecified Project Duration: 1 - 4 weeks Skills required:
ASP, Javascript, PDF, PHP, Website Design
Additional Files: directions.txt
About the employer:
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