Create a online order form with payment

I am using a online order form at the moment that users fill in with their details and then they make payment online. I will share the link with the relevant freelancer upon reviewing your work and price given. You will look at the current design, re-create your version (100% identical) and set up the file on the server.

Why I am doing this?

- Current form is from another third party so I am paying monthly fee to use their service. With my won custom made form, I have no monthly fees to pay.


- Order form to have full validation so everything is validated correctly

- Form will have 4 pages within the same page: Logo & Stationery Design - Website Options - Design Brief - Payment

- Customer should be able to pay at the last step (Payment) via PayPal OR Card Payment

- Email confirmation containing all order info sent to customer and a copy sent to me

- My website is at present responsive so your work will need to be responsive too


- In attachment I have attached the designs for this order form. I will give you link to live version if you are selected.

About the site

- It is a very simple 11 pages website with static files (not wordpress) and has no CMS.

- Website is using secured SSL at the moment

My budget is $50-$100. Anything above this will be ignored.

Thank you

Skills: Graphic Design, HTML, Payment Gateway Integration, PHP, Website Design

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About the Employer:
( 15 reviews ) London, United Kingdom

Project ID: #15560923

Awarded to:


i will build this system/payment form as you want to get rid of third party, will do all today, payment will be at last stage, i will integrate paypal and credit card , if u like both i will add. Relevant Skills and More

$100 USD in 4 days
(238 Reviews)

29 freelancers are bidding on average $127 for this job


Hello Sir I can design & develop high quality website to fulfill all of your requirements. Our developed cross-browser website would be highly secure from HACKING and spamming. Relevant Skills and Experience I am Fai More

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$111 USD in 3 days
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$277 USD in 2 days
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Hi sir. Nice to meet you. I've fully understood what you want and I am confident about your job. I have done many project including integrating payment gateway. Relevant Skills and Experience Wordpress, Joomla,Laravel More

$111 USD in 3 days
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As per your requirement, you would like to develop a Website. We would like to share that we have extensive experience in website design, development, and deployment. Relevant Skills and Experience Similar work:- http More

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Hi, I have gone through your job description for a static website with payment gateway integration, I will do this job in your budget, Please come on chat to discuss more and finalized the things. Relevant Skills and More

$133 USD in 3 days
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A proposal has not yet been provided

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Hey, I'm interested in your project. Please send me a message so that we can discuss more.

$166 USD in 2 days
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Hi I am well versed and having experience of 5+ years as Wordpress developer/designer. I believe that we can make a healthy relationship by working together. I have scored 1st place in WordPress test on Upwork. More

$100 USD in 3 days
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Hello, I read everything you writen in the above about the order forrm, I can use use your current design and implement my own custome work. Feel free to more discuss. Relevant Skills and Experience PHP MySQL Propose More

$100 USD in 6 days
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Hello, Greetings!!! I see your image file. I will build this 4 page form in single php page and add all features and validation. I can do work on your project. Relevant Skills and Experience For more than 5 years, wit More

$111 USD in 5 days
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Hi, Please give me opportunity to work with you I have expertise in PHP, CMS, Laravel, wordpress, shopify, website design and development. I can build website for you as you mentioned in description.. I More

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Hi there! I have read your project and I understand what you need. As your requirements, I'm confident that I'll complete this project perfectly. I am a professional full stack developer. I have 5+ years of exper More

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$86 USD in 3 days
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i can help you creating an online order form. Relevant Skills and Experience experience regarding this is almost 1 year plus. Proposed Milestones $155 USD - 50$

$155 USD in 3 days
(20 Reviews)

Yes I can do this. Relevant Skills and Experience website design,graphic design,html,css,php,payment gateway integration; Proposed Milestones $90 USD - full project

$90 USD in 3 days
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A proposal has not yet been provided

$55 USD in 2 days
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Hey There !! We have seen the job post of yours and very interested to start work with you as we have delivered out the similar kind of projects and we completely understand the subject of yours and what is requir More

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