a custom e-sign form

CLOSED
Bids
6
Avg Bid (USD)
$34
Project Budget (USD)
$30 - $31

Project Description:
I am looking for someone to build a custom e-sign pop up light box.
We have a form and want potential customers to be able to click a box and the form pops up, once it pops up they need to be able to fill it out, then when they are done they need to be able to email it to me as well as get re-directed to another page for payment.

I need SERIOUS people only - i dont have time for people who do not know how to do it

Skills required:
CSS, HTML, PHP
About the employer:
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