php form mysql Data Collection

Budget $30 - $250 USD
Bids 29
Average Bid $0

Can you duplicate this by using one of my domains?
please see the link :

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giorgioferroli

Very cool and patient guy! Good job
About the Freelancer
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Hi, i'm a web developer working in a marketing agency using php, html 5, css3, mysql, symfony, wordpress, jquery

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