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Recommendation and Implementation of a Joomla Payment Form

Our website is created using Joomla. We would like to create a payment form recommended and implemented. This form is not a checkout or shopping cart. Our customers are issued invoices and this would be where they would be directed to pay. This payment form has to be integrated with our merchant accounts are from either TD Canada Trust and Moneris (Canada).

Some of the fields that need to be entered are:

Name

Address

Telephone

Invoice Number

Date

Drop down Selector

Amount (allow user to enter amount)

Credit Card Number

Expiry

CVV

Please make a recommendation of the extension you think would be suitable.

Skills: CSS, HTML, Joomla, MySQL, PHP

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About the Employer:
( 2 reviews ) Toronto, Canada

Project ID: #4371672

10 freelancers are bidding on average $254 for this job

vietcodepro

Hello, I'm very interested your project. Please check your inbox for more details and looking forward to work with you, thanks!

$250 USD in 3 days
(568 Reviews)
8.3
toinnisfree

pls chk pmb

$231 USD in 3 days
(563 Reviews)
7.9
webedeveloper

Experienced team specializing in PSD, LOGO, Banner, Corporate Identity, Flyer PSD to HTML, SLICING, HTML4, CSS2, HTML5, CSS3 and open sources like Wordpress, Drupal, Joomla, Open Cart, PHP Frameworks like Yii, Zend, More

$309 USD in 5 days
(89 Reviews)
6.8
mrlonganh

Hi,I'm ready to help you now.

$250 USD in 5 days
(98 Reviews)
6.1
linuxfreak1985

Hi there, We are experts in PHP Open Source (any kind of PHP/MySQL work),wordpress and Ajax/Web 2.0 technology. Some of the projects we completed for php are mentioned below [url removed, login to view] More

$385 USD in 5 days
(71 Reviews)
5.9
narmadatech

6 Years in Joomla- 225 completed Projects - 140 Satisfied Client - 86 countries - 5 Star ratings on Freelancer/Elance. Still going strong, please check your Inbox for my message - Regards, Derick Rethans

$390 USD in 19 days
(30 Reviews)
5.8
JoomlaVogue

Hello Sir, We have gone through the details you have provided and would be pleased to work on this with you to deliver the results that you have expected and We are sure you will not be disappointed if you give us More

$169 USD in 3 days
(10 Reviews)
4.4
dpeter

Please check your inbox.

$250 USD in 20 days
(12 Reviews)
3.9
rvtechsolution

Our main target is to amaze you by our quality works and try to give you a standard website depends on your requirements. Your satisfaction on our work is our great pleasure. We will appreciate if you give us the chanc More

$206 USD in 5 days
(10 Reviews)
3.6
ForeignTree

Consider it done

$200 USD in 15 days
(2 Reviews)
3.0
rsen75

i have 14+ years php / mysql / html / joomla / payment gateway Integration experienced .Kindly check pmb for portfolio

$150 USD in 5 days
(1 Review)
1.9