Website Clone - Needed ASAP

Hi, I am looking for someone to make a form similar to: [url removed, login to view]

I don't need any design work, just a functioning form where the user chooses a template option, enters some input text,Upload or provide links to images and the form outputs the html to a text area. I prefer this to be in PHP/Mysql. I don't need any templates created or anything. You must upload a working test version to your server before I make payment through GAF escrow.

Thanks! Please send a PM if you need any clarification

Skills: PHP

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About the Employer:
( 1 review ) Citrus Heights, United States

Project ID: #206471

Awarded to:


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$80 USD in 0 days
(142 Reviews)

10 freelancers are bidding on average $78 for this job


Ready to Start...iMotion

$80 USD in 0 days
(111 Reviews)

Hi, Please refer PM for details. Thanks

$50 USD in 1 day
(40 Reviews)

Sir, I am a experienced programmer with PHP, ajax, javascript, html, mysql.. and i am already engaged with Google for some project in PHP/MySQL and also working on an integration of an auction site and facebook i More

$80 USD in 1 day
(36 Reviews)

i can do this job

$100 USD in 5 days
(6 Reviews)

Dedicated Programmer available to complete this project immediately. Can have working demo available within 12 hours, and finished project delivered within 24 hours! Lets get started right away!

$70 USD in 1 day
(8 Reviews)

we want to show our capability through our work. we are highly experienced in various fields like .NET, Java,PHP, javascript and [url removed, login to view] have more than five years experience in web development.

$90 USD in 7 days
(21 Reviews)

Hello, please check PM

$77 USD in 2 days
(1 Review)

Hi, I have 4 years experience with PHP/MySQL. I can make your project fast and qualitative. I can start work right now.

$50 USD in 1 day
(1 Review)

Why do you like do the same amateur way as others ? Pay a little more (150), I'll show you the professional way that more suitable for you business.

$100 USD in 3 days
(0 Reviews)