php form to datrabase

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Bids
17
Avg Bid (USD)
$153
Project Budget (USD)
$30 - $60

Project Description:
Hi,

we are looking to have a form to be filled, but before to be added to the database the customer need to pay via paypal a certain amount then once clear the information is send to the database.

the paypal information and price to be paid are located in a database.

some small other things about how the entry need to be made in the database (very minor such as creation date...and other, will need to be added) the database is already created, probably need some adjustment on the collection design only.

please find attached the form that need to be created.

one option need to be added(file annoncer1.jpg) that need to be the 1st option

most option need to be in (<option value=".......)falling option bar

thats need to be done in 2 days.

Skills required:
MySQL, PHP, Website Design
Additional Files: annoncer2.jpg annoncer3.jpg annoncer4.jpg annoncer51.jpg annoncer52.jpg annoncer1.jpg
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