Create better looking registration form for website and implement it

IN PROGRESS
Bids
20
Avg Bid (USD)
$51
Project Budget (USD)
$30 - $250

Project Description:
I have an existing website in development, and the current registration form is quite ugly. (See file attached) I am looking for someone to make a much better looking form and integrate it with the backend mysql database that already exists. Please know how to both design and implement a nice looking form. I am using Rackspace to host so please be able to navigate that environment. php, html, mysql, design, sympfony php

Skills required:
Graphic Design, HTML5, MySQL, PHP, Symfony PHP
Additional Files: website+form+eatopia.jpg
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Project posted by:
dreamcenter United States
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