Microsite design and implemetation

I need webdesign and implementation of a very simple (one-page ?) service ordering website '[url removed, login to view]' to proof an idea.

The page should be segmented into 4 parts:

1) plan selection

- also table Service x PlanName

- Price

+ possibility to buy additional 1-2 extra-services (ie. express response etc..)

smth. similar to [url removed, login to view] plan selection - [url removed, login to view]

2) Attach one document and add description

- select document type from dropdown

- select document for upload

- additional free-form text description

- email address

3) Disclaimer

- readonly textarea with some legal statements...

- explicit checkbox to agree

4) order summary

- textual order summary

- captcha

- Send button


- To make this site respond quickly, I prefer having all this parts on on one page, with avascript doing all the verifications and page dynamics and Send button should send all the data to wordpress at once.

- HTML5 preferred

- mobile support required

- buttons in CSS

- simple solution is preferred

Delivered project should contain:

- simeple logo (in SVG)

- HTML/CSS representation of design

- Wordpress 3.6 templates + Javascript

Say 'Hello DOB' in you bid to let me know, you read this till here :)

Skills: CSS, Graphic Design, HTML, Website Design, WordPress

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About the Employer:
( 1 review ) Zilina, Slovakia

Project ID: #5045936