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website design php

I need you design a site like this one [url removed, login to view]

when user fill all info submitted info such as name phone no should append to silverpath as you can see on

[url removed, login to view]

if you understand passing info to silverpath the bid this project

Skills: HTML, Javascript, PHP

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About the Employer:
( 0 reviews ) BHALWAL, Pakistan

Project ID: #1251469

6 freelancers are bidding on average $154 for this job

dotsaravanan

Please have a look at PMB. Thank You

$210 USD in 6 days
(20 Reviews)
6.3
Linkbuild

Kindly have a look at PMB, Thank You

$210 USD in 6 days
(32 Reviews)
6.3
Techurge

Hi, We are expert in designing and we have good team of graphic designers and programmers. We assure you for quality services. Please see our recent feedback. See pmb for more details. Regards,

$225 USD in 10 days
(40 Reviews)
6.1
garouppa

Hi, Please check PMB . Thank you.

$200 USD in 6 days
(8 Reviews)
3.8
php71

I have many excellent experience about this. I am ready for your requirements. A good day

$100 USD in 3 days
(0 Reviews)
0.0
yemmmsiva

i am software engineer. give me i will do in my best

$111 USD in 10 days
(0 Reviews)
0.0
abayomi80

I have being developing web solutions and web sites for more than three years using php, ajax, javascript, html and mysql. I have the competence required to do you job.

$200 USD in 15 days
(0 Reviews)
0.0
chicuongit913

I will finish it I think it is easy. please pm me and check my profile thanks skype : chicuongit913

$90 USD in 4 days
(0 Reviews)
0.0