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Easy PHP form creation

Need a little database to be made for an adult site which shouldnt be very hard. [url removed, login to view] forwards to [url removed, login to view] currently. I would like to make a PHP page where it asks people to enter a username and password of their choice with their credit card info right on the page so users dont have to go to the CCBILL page. The processor will be ccbill but I want everything to be automated thru the form that should be made. This is a very urgent project and anyone that can get this done ASAP will be giving the project. Please post more details in PMB.

Skills: PHP, Script Install, SEO

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About the Employer:
( 0 reviews ) montreal, Canada

Project ID: #18402