Payment notice script (E-Mail form)

Payment notice script (E-Mail form) is project number 19160 posted at GetAFreelancer.com. Click here to post your own project.

Status:	Closed (Selected Service Provider)
Selected Providers:	selected service provider Kaabi
Budget:	$30-100
Created:	06/04/2005 at 13:22 EDT
Bidding Ends:	06/14/2005 at 13:22 EDT
Project Creator:	chiehkai   Buyer Rating: (42 reviews)
Description:	I'm a hosting provider and need a payment notice script. Here's what I want: 1). Informations will send to my E-mail box. 2). Three pages. 3). A simple neat template. First page includes: 1). Customer's name. (No need to separate First & last) 2). Contact E-Mail. 3). Choose a packge. (Drop down) 4). Telegraphic transfer or paypal. (Cheek box) 5). If chosed telegraphic enter your account's last 5 numbers. 6). If chosed paypal enter your paypal account. 7). Payment date, time and ammount. Cheek: ALL FORMS MUST BE FILLED!! NEXT>> Second page includes: 1). Username your want. (Max 6 letters) 2). Password your want. (Re-enter) 3). Use my domain or plaese give me a free one. (Cheek box) 4). Enter the domain for your account. 5). Use our free domain. (yourname.ck3.org) Cheek: ALL FORMS MUST BE FILLED!! SUBMINT>> List all the informations. Put a "Go back and edit to both pages" buton, Send. There will be changes, I need this script within 2 days. Additional information submitted: 06/04/2005 at 13:30 EDT: There's a worng place, should be:There will be NO changes, I need this script within 2 days. 06/04/2005 at 13:56 EDT: Plaese add a Note column in both pages.
Job Type:	PHP
Database:	(None)
Operating system:	Linux
Bid count:	10
Average bid:	$ 63