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duplicate form script

I have a preexisting web form I would like to have copied and installed on a different web server. The form I want to use is located here [url removed, login to view] I wnat to use the same form style and data field. The form was built using golden forms or smart forms form codecanyon.com. I have attached to source code . I just want some one to copy the form as is but in the payment field I dont want to accept money I want the person to pay by uploading (2) images. this should be a quick mod as thew form and all coding is already done . You must modify the send form serverside data to my new email address.

Skills: Graphic Design, HTML, PHP, Website Design

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About the Employer:
( 2 reviews ) JAMAICA, United States

Project ID: #5833534

24 freelancers are bidding on average $149 for this job

toinnisfree

I have read your project details, and I am interested in offering my services. I provide 100% satisfaction guaranteed on all my work. Milestone is required to begin; to be released when the job has been satisfactor More

$185 USD in 3 days
(607 Reviews)
8.0
kchg

Hello sir I am TOP 9 in ranking on freelancer I am really interested in your job I have enough skill for doing your job I wish you to contact with me Best regards

$257 USD in 5 days
(152 Reviews)
7.8
omtechnologies

Hi, Our Zend Certified PHP Engineers with 9+ years of experience can do this project precisely and exactly as per your requirements. We have expertise in PHP/ MySQL/JQuery / CSS/ Javascript/HTML etc. USP 1) We p More

$257 USD in 10 days
(174 Reviews)
7.8
rajeshsonisl

Hello, With 99% completion rate, 650+ successfully completed projects, and a 5.00 reputation (maximum possible, 5.0) (Yes, not even 4.99 average rating, can be verified on my profile page !!)... you can never go wro More

$206 USD in 1 day
(506 Reviews)
7.5
websky7

Check out some of our Featured Works.. Our Website: ------ [login to view URL] Portfolio Links: ------ [login to view URL] [login to view URL] [login to view URL] [login to view URL] h More

$216 USD in 5 days
(124 Reviews)
7.5
Instantsolutions

Hi, I am very much interested to do this work for [login to view URL] check my reviews. pleas check my portfolio: [login to view URL] Freelancer Portfolio: http://www.freelancer.com/u/instantso More

$198 USD in 5 days
(105 Reviews)
6.7
JoomlaVogue

Hello Sir, We have gone through the details you have provided and would be pleased to work on this with you to deliver the results that you have expected and We are sure you will not be disappointed if you give us More

$103 USD in 5 days
(74 Reviews)
6.7
stevebryant

Hi, I can duplicate that form script. Ready to work now. What is your new email address? Regards, Steve

$30 USD in 1 day
(419 Reviews)
6.5
evidcomm

Hello Hiring manager, Greetings from Evidcomm!!! Happy to have your attention on our proposal.. We have gone through your requirements and would be pleased to work on.I have read your all project detail and as More

$201 USD in 5 days
(47 Reviews)
6.3
kartnip

I would love to copy your form for you, as well as modify the payment method as described. I have no other projects in progress and could start right away!

$200 USD in 1 day
(42 Reviews)
6.2
steven6

I can help you with this in 4 hours starting now. Done this before, Send me a message if interested.

$263 USD in 0 days
(37 Reviews)
6.1
dustafo

I can get this done for you right away.

$100 USD in 1 day
(127 Reviews)
6.1
bhupal123

A proposal has not yet been provided

$111 USD in 3 days
(333 Reviews)
6.1
aneeshtclt

A proposal has not yet been provided

$35 USD in 3 days
(21 Reviews)
4.8
sprextech

Hi I have read your project details, and I am interested in offering my services. I provide 100% satisfaction guaranteed on all my work. I have good level of experience in Core PHP , OpenCart , Magento, Wordpress, Dru More

$100 USD in 3 days
(26 Reviews)
4.6
DevelopersTeam85

Hello Hiring Manager,  I have seen your requirement of the project and can do the mentioned requirement with good efforts and 100% completion with good quality and on time completion. Website Implementation Done More

$231 USD in 15 days
(10 Reviews)
4.3
entrepreneur2000

Hello, I am a professional web developer based in Moscow, Russia with extensive hands-on experience in PHP, HTML, CSS, JavaScript, JQuery, MySQL and other web technologies. I offer quality services in web-development More

$99 USD in 3 days
(3 Reviews)
4.2
tegonity

Hello, We’re Tegonity. We are specialized, and well experienced Web Design & Development Team. We came up to your project description and We’re interested to assist you on the respective project. ---------------------- More

$258 USD in 3 days
(11 Reviews)
3.7
deepakyadv

Good Day, This is Deepak Yadav. I have gone through the requirements and much clear about them. Please let me know your inputs. Thank You!

$50 USD in 1 day
(14 Reviews)
3.6
chetanghadiya007

hi, I have great experience in the area of Core PHP, why not hire me for your PHP project. I have worked as an Graphic Designing and PHP Developer and have great experience in these areas. I also have experience in More

$100 USD in 2 days
(11 Reviews)
3.3