PHP MysQL db and form - simple

Avg Bid (USD)
Project Budget (USD)
$30 - $100

Project Description:
Hello Coders. Looking for PHP MySQL coder to create a CC credit card form on an appraisal site. Currently there is a form that emails an admin an appraisal request. After the form is submitted, I would like a screen that says: "Thank you for your appraisal request. Use the below form to make a credit card payment." This credit card payment page is also to linked from the aprraisal request form. CC info will be transfered over SSL, already on the domain. fields= name on cc cc # cc exp cc conformation number -(if one) cc billing address 1 cc billing address 2 cc billing address 3 city state zip phone All fields are required (except cc confirmation number) and the form is to be validated before insertion into db, most likely with javascript. You will be required to make the form look like the form on the site - simple HTML work. Admin should be able to login and print orders on a daily basis. Once orders have been printed, there should be a flag that can be set to flag order as processed and... a cron set that deletes flagged orders every night at midnight. Just make the cron, I will set it to run. When a flag is set that an order is going to be deleted at midnight, it should show on the list of orders in red "Order Proccessed - Flagged for deletion. That should do it. Thanks for bid. -tad.

## Deliverables

1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.

2) Deliverables must be in ready-to-run condition, as follows? (depending on the nature? of the deliverables):
a)? For web sites or? other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.
b) For all others including desktop software or software the buyer intends to distribute: A software? installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.
3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).

## Platform

unix/apache - php, mysql

Skills required:
Engineering, MySQL, PHP, Software Architecture, Software Testing, Web Hosting, Website Management, Website Testing
About the employer:
Public Clarification Board
Bids are hidden by the project creator. Log in as the employer to view bids or to bid on this project.
You will not be able to bid on this project if you are not qualified in one of the job categories. To see your qualifications click here.