PHP/JavaScript/mySQL Form - repost

IN PROGRESS
Bids
5
Avg Bid (USD)
$104
Project Budget (USD)
$30 - $250

Project Description:
Looking for an expert in PHP, Javascript and mySQL to code an order form for us. You MUST be available to work on the project right now and have it complete within 4-6 hours. Ideally you would be available on Skype (please send your username). This is NOT a simple contact form, it's a complicated booking/reservation form. Only bid if you have experience making difficult booking forms.

Please show examples of previous forms you have made.

Skills required:
Javascript, MySQL, PHP
About the employer:
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$ 120
in 1 days
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Hire Days
$ 120
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$ 120
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Hire aelharfali
$ 60
in 1 days