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Create HTML/CSS of Form from PDF - open to bidding

need to convert this form: [login to view URL]

into a clean HTML/CSS page that can be printed once filled out.

Skills: Graphic Design, PHP, PSD to HTML, Website Design, WordPress

About the Employer:
( 0 reviews ) Canada

Project ID: #13858438

73 freelancers are bidding on average $149 for this job

sapotacorp

Hi venkprabhu. I have checked " health insurance claim form". I'll convert it quickly. Let's contact me to discuss further details.. Q

$160 CAD in 4 days
(989 Reviews)
8.6
graphicaa

Hello, I understand your requirement This price and time only placeholder I am online now, I will send detailed proposal along with exact price after discuss with you. Best Regards Sebastian Note: + We are flex More

$147 CAD in 3 days
(668 Reviews)
9.0
niravvirani17

Give me chance to prove my ability and also quality work i am waiting your positive replay from your side i am highly interested to work with you We have 8 years’ experience in this field and completed many projec More

$147 CAD in 3 days
(744 Reviews)
8.2
linuxfreak1985

Hi, I am willing to do this project, conversion from PDS form design to neet and clean html/css code design?. Please award me the project so that we can discuss it in more details Mentioned below is my Past Portfolio More

$155 CAD in 3 days
(946 Reviews)
8.5
mituld

Hi I work towards providing reliable, relevant and robust IT solutions at most competitive prices to my customers. I ensure 100% customer satisfaction so lets start Thanks

$195 CAD in 7 days
(448 Reviews)
8.2
PhpYouth

Dear employer! I am an experienced web developer I have read the project requirements carefully and I have checked the pdf form. I am very much interested in developing this form using HTML. I can start work right More

$200 CAD in 3 days
(288 Reviews)
8.1
raoasghar

Hey! Here is Rao, i review job description but i have some question's about job, please let me know further details about job then we will finalize about time and budget. thanks

$300 CAD in 2 days
(297 Reviews)
7.6
vyasrohan

We are a top rated digital agency, specialised in Websites, Web and Mobile apps and Internet Marketing. We have reviewed the job description carefully, and we can deliver this project upto the 100% Here are some More

$206 CAD in 3 days
(243 Reviews)
7.8
digiwebcreators

Hi there, I am interested to create HTML/CSS of the form. I have checked the PDF and understand the job. I want to discuss the job with you, so please come on chat to discuss more about the project. I will start th More

$100 CAD in 2 days
(407 Reviews)
7.5
teambeedesigners

Hi, I will convert your this form to responsive html version so you can open it in different devices. Please feel free to contact me so we can start it right now.

$200 CAD in 2 days
(177 Reviews)
7.3
tranngocanh1702

Hi, I am Anna with more than 5 years experience in PHP, Laravel framework, Slim framework, CodeIgniter, MySQL, HTML, CSS, Javascript, jQuery, Ajax, WordPress template & plugin, WooCommerce. I am able to create More

$250 CAD in 3 days
(125 Reviews)
7.5
usatechsoft

Hi, My Notion : "No Satisfaction, No Payment" We have expertise in Web Design & Development. Please check our client reviews to determine the quality of our work.: Lets discuss in detail and start now? i More

$246 CAD in 3 days
(162 Reviews)
7.7
groupdesign111

hello, past work: [login to view URL] [login to view URL] [login to view URL] [login to view URL] More

$100 CAD in 2 days
(681 Reviews)
7.2
Ideallsolution

Hello How are you I'm web developer and designer I have rich experience for WORDPRESS,WOOCOMMERCE,SHOPIFY, PHP, CSS, HTML, JQUERY, DATABASE MANAGEMENT and etc with full responsive design. Your Project is very fami More

$155 CAD in 3 days
(137 Reviews)
7.2
evadevlopers

Hi There, Ready To Start now. I have 4+ years experience in PHP as well as Wordpress, Magento,OpenCart, Prestashop, OsCommerce….and also in responsive CSS3, bootstrap, html5 . etc You can check our work http://wis More

$200 CAD in 3 days
(248 Reviews)
7.1
babitabubu

Hi, I will do it. I will done in1 day .

$172 CAD in 1 day
(195 Reviews)
7.0
webXpart

I have gone through the details you have provided in your project details. Please check below links for my Freelancer profile and my work profile. Please come online so we can start the project. Please check my prof More

$200 CAD in 3 days
(73 Reviews)
6.9
techwelfare

Hi Let's clarify the requirement in details also if you want us to share our previous work let us [login to view URL] have a few questions about your project, please send us message so that we can discuss more. Thanks & regar More

$252 CAD in 10 days
(193 Reviews)
7.3
muamerETS

Hi, I'm interested for your project. I am Muamer, I'm talented web developer and web designer with over than 5 years of experience in different directions web designing and web programming. During the last five year More

$155 CAD in 3 days
(150 Reviews)
7.0
sulemanshahjahan

Greetings! Need an expert developer? Here I am Suleman working for more than years I believe in quality not quantity here are some quality examples of my websites: [login to view URL] [login to view URL] More

$155 CAD in 3 days
(207 Reviews)
6.8