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Project: Website Signup Form
ID: 1231254706 |
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Status: |
Closed (Chosen Programmer: kanebear; Rated 10 out of 10)
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Budget: |
N/A
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Created: |
1/6/2009 at 10:11 EST
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Closed: |
1/13/2009 at 13:13 EST
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Project Creator: |
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Description: |
I need a php signup form created for our website. The form will need to be submitted to a MySQL database securely because of the credit card information. The database will need to be accessed via the web securely.
The signup will need to be a three steps (page) process.
PAGE ONE: WEBSITE USER SIGNUP PAGE
ACCOUNT INFORMATION
First Name:
Last Name:
Email Address:
Password:
Confirm Password:
PAGE 2: SELECT BACKUP PLAN
Personal – 10GB - $10/month
Professional – 25GB – $25/month
Small Business – 50GB - $50/month
Enterprise – 100GB - $100/month
BILLING INFO
Credit Card Information
Credit Card Type:
Credit Card Number:
Security Code: What's this?
Expiration Date:
Billing Address
Name on Card:
Street Address:
City:
State/Province:
Postal Code:
Country:
Phone Number:
PAGE 3: CONFIRM AND SUBMIT ORDER
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Job Type: |
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Messages Posted: 54 |
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