Web template made for a fill out form

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Bids
18
Avg Bid (USD)
$329
Project Budget (USD)
$30 - $250

Project Description:
We need a web template made to fill out a form online. we will need to log in with a password in order to fill out the form. We will need the forms saved online on a different page. We will need to be able to search for each form that has been filled out. The form is only one single page with 15 different fields that need to be filled in. We need to add an auto fill in feature to the fields so it will recognize previous words used to fill in the field and autofill the rest of the word. for instance one of the filds is "variety" we would write in jasper. We would want it so the next form we will out if we just typed in Ja .... it would come up with a list of suggestions of previous words we have typed into the box that start with the letters Ja.... one of these would be jasper.... so then we could select jasper and it would be done.

This will be a single page with a simple database to store all the previously filled out forms. This needs to be worked on right now. We are in a rush that is why we came to freelancer I have a picture of what I want the form to look like that we can use to make the template. we need to be able to print the form with it formatted on a specific piece of paper that is 8.25" tall 11.625" wide

Skills required:
Graphic Design, HTML, PHP, PSD to HTML, Website Design
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