jquery signature on form, save to word doc in server

Avg Bid (USD)
Project Budget (USD)
$20 - $50

Project Description:
Jquery & php expert only! I want this done in max 1 day and start now.

Background: User fills in our php web form and submits. Once submitted, data formatted onto a word do template and saved in users folder on server.

I want you to integrate a signature box below the web form. Once signed, i expect the signature to appear on the word document.
You can use any of these:
[url removed, login to view]
[url removed, login to view]

Skills required:
jQuery / Prototype, PHP
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