I need some one to create a form in PHP to send the results to SQL based.

Completed Posted Feb 20, 2013 Paid on delivery
Completed Paid on delivery

this is what I need, a form where I can fill up all this information then submit. it into my SQL.

I want to record all the deposited checks in the database, by month. also search for existing customers, and be able to see picture ID, and doc info if there is any.

Name:

Last name:

Address:

Phone Num:

Company Name:

Comp. Phone Num.:

Type of check: Commercial, Personal, Government ( Multiple choice or cascade)

Amount:

Fee:

MySQL PHP Software Architecture

Project ID: #4263971

About the project

8 proposals Remote project Active Feb 20, 2013

Awarded to:

tonyshaeeb

I am confident.

$45 USD in 2 days
(7 Reviews)
3.0

8 freelancers are bidding on average $74 for this job

joomlamanager

I can get this done

$70 USD in 1 day
(84 Reviews)
6.0
onlymaj

hi.i'm a web developer with more than 4 years experience in this field.i'm ready to start if you're interested !

$100 USD in 3 days
(7 Reviews)
3.8
topworkerbd

Ready to work

$30 USD in 0 days
(9 Reviews)
3.4
orgglobe

OrGlobe Solutions

$50 USD in 0 days
(8 Reviews)
3.3
Moniservices

Dear Sir/Madam, Thank you for the opportunity to submit our proposal for your project "I need some one to create a form in PHP to send the results to SQL based."Enclosed please find PDF PROPOSAL FOR all information More

$140 USD in 4 days
(1 Review)
1.4
LemonDev

Quickly and easily done, an easy task.

$150 USD in 3 days
(1 Review)
1.3
sismaster

i can do this sir lets start i am waiting for your reply

$50 USD in 1 day
(1 Review)
1.1