One page website copy

IN PROGRESS
Bids
2
Avg Bid (USD)
$83
Project Budget (USD)
$30 - $250

Project Description:
I have been coding my own private server for a game and I can't get this ONE webpage to copy and work properly.

I will provide the web address and additional log-in information to the selected freelancer so that they can look at the source required.

I need one page copied which has a text box, and a submit button / continue button. When the continue button is pressed the information is POSTED to a file on our servers for records purposes. I'm trying to establish user usage and this is the easiest way to do so.

The web-page required will need SOME customization which may involve CSS and other coding.

Please message me and let me know if this can be done and I'll provide you information.

BUDGET IS MAXIMUM $60 USD. PLEASE ONLY SUBMIT BID's IF YOU'RE ABLE TO STICK TO THIS BUDGET!!!!

Skills required:
CSS, Javascript, PHP, Website Design
About the employer:
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