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Need Sophisticated Order Form

I need a gifted programmer/design to create a sophisticated type order form like the link below…

[url removed, login to view]

I don't know what is the best coding language to do this in. I will let you decide the best solution. I want the form to be very easy for the user to understand. I would like the form to be very attractive and pleasing on the eyes. Most importantly it needs to be easy to use!! I would also like the ability to update the form myself (such as prices, etc).

The form needs to be able to hook up with the [url removed, login to view] gateway.

I would also like to start an affiliate program on my website and I need the cart to recognize affiliate sales.

If you've created something like this in the past and can show me, please do.

Ryan

Skills: .NET, AJAX, PHP, Website Design

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About the Employer:
( 0 reviews ) Omaha, United States

Project ID: #211735

11 freelancers are bidding on average $265 for this job

lightcresent

Check PMB.... Thanks

$300 USD in 0 days
(607 Reviews)
9.1
meetesh

Plz check my PMB

$300 USD in 3 days
(108 Reviews)
8.4
itcslive

pls chk pmb

$200 USD in 5 days
(143 Reviews)
7.6
codersam

We are suitable for this project as we have already done same type of project...we can give you the exact solutions you are looking for...We'll give you the quality work within the desired time line...Please ch More

$280 USD in 10 days
(163 Reviews)
7.4
rajinfosolu

Dear Sir I have 5+ years experience in php,mysql,smarty,oscommerce,ajax,javascript. Please view PM about my projects. I will appreciate if you will provide this job to me. Regards Raj

$220 USD in 3 days
(57 Reviews)
6.4
InforQuali

Quality, efficiency and good price can only be reached when you have experience, will, commitment and a great team. We are a Portuguese company with 8 specialized workers and celebrating the 10th year’s anniversary. Pl More

$200 USD in 2 days
(14 Reviews)
5.9
seolinkdesign

Pls check PMB.

$300 USD in 10 days
(54 Reviews)
5.9
bansalparijat

plz see PMb for details.

$250 USD in 15 days
(7 Reviews)
5.2
michael1998

Please see my PM!!

$300 USD in 0 days
(11 Reviews)
4.9
dreamvib

we can do this for you. dreamvib team

$300 USD in 5 days
(1 Review)
3.1
CSharperSean

Good Evening, I can create this form easily and have it done ASAP. My specialties include .NET, AJAX, C# and Web design. I am also familiar with Authorize.Net and shopping cart systems. I will keep in contact daily a More

$260 USD in 3 days
(0 Reviews)
0.0