Form info to payment gateway

I need a simple form (5 fields) to collect customer info and submit payment using [url removed, login to view] gateway (sim or aim).

we currently have a fully functional payment gateway. This is a very simple project and can be done using the donate button code or any other suggested method.

Skills: Javascript, MySQL, PHP, Script Install

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About the Employer:
( 8 reviews ) New Rochelle, United States

Project ID: #1287841

Awarded to:


Please check pm

$30 USD in 1 day
(8 Reviews)

I am waiting here to finish job this moment.

$30 USD in 2 days
(1 Review)

6 freelancers are bidding on average $55 for this job


quick pro help. ftp and escrow required.

$88 USD in 1 day
(617 Reviews)

NetXpertIndia is a customer-specific service oriented company has got a Professional and creative team. We are the Professional Web Development Company having rich experience in Web design and development. Our team can More

$40 USD in 1 day
(89 Reviews)

Hi We have gone through your requirement,we have some query regarding this project,how we can discuses this. I want to introduce our self, we are a group of freelancers have experience in web application developmen More

$40 USD in 0 days
(21 Reviews)

I just finished a similar project using SIM and would be able to finish your project in a minimal amount of time with the highest quality of work that can be easily modified (even by a non-programmer) at a later date i More

$100 USD in 1 day
(1 Review)