Convert a one page form (hard copy) to Microsoft Word or Adobe (soft copy)

This project was awarded to sergey2511 for $49 USD.

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Project Budget
$30 - $250 USD
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Project Description

I have one form (hard copy) that I want you to create either a Microsoft Word or pdf document for. The form is one page, and I want you to to essentially create an electronic copy of them for me. The form should allow for input in some locations. I'll explain in more detail.

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