Custom Form + Module for OSCommerce Store - x 2 Websites

2 Websites - Exactly the same Programming & Layouts (but different visuals) - both need the exact same custom form & module.

>>>>>> See Screen Shots attached.

1. when the 'Register Now' button is clicked on, I need the custom form page to come up, which is for 'Fundraiser Registration'

2. the form data, once submitted, must be stored in the database with a custom module written under administration called "Fundraiser Accounts". I must be able to go into that and pull up the fundraisers details just like I would any other customer (but it is in a separate area, of course)

3. I must be able to send out 'Newsletters' to my customers based on if they are a 'Customer' (normal) or to send out a newsletter to the 'Fundraiser Accounts' group. (a radio button is OK, or a drop down list, for me to choose which group to send it to)


1 more small job:

I need a single button inserted just under "categories" in the left-hand side menu. This needs to be done on the 2 websites (one button each website), with a link. That's all.


MY DEADLINE: I need this COMPLETE within 3 days... it can NOT go over deadline! it is URGENT!



- Country Field in the form - must only be able to select "Australia"

- Select State field in the form - these are the options:

Australian Capital Territory

New South Wales

Northern Territory


South Australia



Western Australia

- Group Type field in the form are these options:

Please Select

Day Care Centre

Play Group


Mothers Group

Social Group

Primary School

School Fete

Secondary School

Fishing Club

Yacht Club

Country Club

Womens Club

Knitting Club

Childrens Club

Awareness Club


Sports Club


- How Many do you Estimate to be in your Group - options are:

1-5 in Group

5-25 in Group

25-75 in Group

75-150 in Group

150-300 in Group

300-500 in Group

500-1000 in Group

1000-2000 in Group

2000-5000 in Group

5000+ in Group

Note - the "Fundraiser Account" will need a separate "Login" button at the top of the screen, called "Fundraisers Login" (we will remove 'advanced search' and put this button there) - the Fundraisers must be able to log into their account there and see any notes I have posted to them, much the same as a standard customer.

Skills: OSCommerce, PHP

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About the Employer:
( 122 reviews ) Melbourne, Australia

Project ID: #1289480

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