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Web Form that creates PDF

This project received 29 bids from talented freelancers with an average bid price of $245 USD.

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Employer working
Skills Required
Project Budget
$30 - $250 USD
Total Bids
29
Project Description

here is the "story" if you will:
convert the enclosed template to a web form with "must-fill" blanks.
place the webform on a new page at [url removed, login to view] so that it can be manipulated in the future using the existing WordPress software.
The "Submit" button on the form should create an image file (PDF or JPG) that is automatically stored in either a dropbox, Drive account or emailed to me automatically.
The form should clear after the submit button for the next entry.

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