Website Form to Populate SQL Database - Simple

In Progress

Very Simple Project - A simple pop-up form that gathers information then stores said in sql database.

Here is current form - [url removed, login to view] - Save the following data to SQL -

Username, Password, eMail Address, Referred By, Subscription Level (Standard or Division) - INVISIBLY Record IP Address, and Account # that is automatically assigned (IPU0280, IPU0281, IPU0282, etc)

REMOVE "Comments & Questions field, instead tell them to email us at .

Send receipt email with their IP Address & Account # on execution.

Use this artwork - [url removed, login to view]

I have database login credentials, want to get started TODAY please

Skills: MySQL, PHP, Software Architecture

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About the Employer:
( 7 reviews ) Philadelphia, United States

Project ID: #4765844

Awarded to:

csajit

LETS DO IT!!!!

$54 USD in 1 day
(129 Reviews)
5.7

7 freelancers are bidding on average $82 for this job

Infenixwebs

Hi, I have experience in MySQL projects, please check your inbox. thanks!

$160 USD in 2 days
(41 Reviews)
6.2
skysap

let me do this for you.

$93 USD in 1 day
(11 Reviews)
4.3
muhammadasif527

lets start.......

$111 USD in 3 days
(1 Review)
3.1
testotorko

Hi, I read carefully your project, and I think I am right person for it. If you wanna work together, let me know.

$45 USD in 2 days
(1 Review)
1.2
kdniazi

HI, Let us start work Now

$77 USD in 3 days
(0 Reviews)
0.0
mariusbaisan

Hi, i can help you with your database populate if you want. please check my pm.

$88 USD in 1 day
(0 Reviews)
0.0
deependradxt12

hi,your project is so simple ,i am expert in php,mysql plz contact me...

$55 USD in 4 days
(0 Reviews)
0.0