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design page for word press site w form simple programming

MFH Specs Project:

will give you login to our WP admin and FTP as needed

Tasks: Create new page and mailer for page + fix text on home page + change menu - Design and simple Form Programming - validation of fields and emailing

1. Create Site page for Physician Advance W/ HTML Mailer

(HTML mailer will not contain the form - instead will have on top , and bottom buttons for:

Get Instant Physician Advance - Get Funding Today!

Site - page design: see in specs

Keep colors Black and Green Consistent

Specs:

Design need to include a Form

A. Form area on top right of page

See form attached

Special Physician Advance Program Application

(smaller text) Same Day Funding - Average 350K Per Location - Best Rates - 14% Average Interest

(soft credit check - bad credit OK - Cash Flow Based - Pay in 18 months - Lowest Interest)

First Name

Last Name

Provider Name

Download Our physician Advance Application

Upload your Signed Physician Advance

Upload your last 4 Bank Statements

* All fields above required

Submit - will send all via email with the attachment to email we give you

and send us email notification when submitted to 2 email addressed

B. Area from Top for landing page:

Header:

rest of specs in file attached

We need it done in 24 hours

We will give you original PSD - we should have if you need

Keep same font and design consistent with main site

Budget $70-$100 +/-

Tell us with your budget if you will do the HTML mailer also or not
We can always do it later. so your decision with budget
Thanks

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

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About the Employer:
( 370 reviews ) Las Vegas, United States

Project ID: #15532889

25 freelancers are bidding on average $175 for this job

sanjay2004

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