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Create an editable PDF document (3 pages) template & text provided - repost

Hi There, I have a 3 page PDF gym membership form (attached: "Par Q Form").

Currently we print this out and fill out in pen.

I would like someone to create a version with editable fields/checkboxes/radio buttons which can be filled out on a computer (and then can be printed out, or saved)

In addition to this, I would like added to the top right of the front page some checkboxes (see below):

Office use only:

[ ] Member Records [ ] Digital Copy

[ ] EZYPAY/Payroll [ ] Member copy

[ ] Gmail [ ] Keytag#_____

[ ] Mailchimp [ ] Intro Email

The area in green on the front page may have to be reduced in size to accommodate the checkboxes.

In case, you're not sure what a editable PDF document should look like (not mentioning names...) I have attached an example (attached: "EZYPAY direct debit form") If you cannot create a document of similar quality to this, please do not bid!

Thank you!!

Skills: Graphic Design

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About the Employer:
( 7 reviews ) Hawthorn, Australia

Project ID: #4560790

Awarded to:


Hello dear Sir/Ma'am. I am a highly qualified, certified, talented and highly professional MS Office, Adobe Acrobat, Adobe LiveCycle Form Designer, Adobe Photoshop, Adobe Illustrator expert. I can create the for More

$5 AUD / hour
(12 Reviews)

4 freelancers are bidding on average $6/hour for this job


Ready to start.

$8 AUD / hour
(54 Reviews)

Hello Sir, Interested in working on this design project with responsibility to complete it successfully. I am expert Adobe Illustrator, Adobe Photoshop, Photo Editing. Please Hire me.

$7 AUD / hour
(0 Reviews)

I would like to do work with you, Please see PMB.

$2 AUD / hour
(0 Reviews)