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Need Search Form Created

Required skills: Programming, Form

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I need a form where the visitor can do a search on the page by clicking on a map of the state of usa then it will list a map of that state then they can select the city. Once they have selected the city it will display the content.

There needs to be a control panel where I the seller can log in and post there ad to the specified state, city and the form will bill them through paypal. Once the payment is completed the form will post there ad in the specified state, city. Payment needs to be set to bill monthly though paypal.

The seller should be able to log into there control panel and view there ad and cancel or change there ad.

Form needs to be tested on your server before delivered to me.

Project needs to be completed and delivered within 1 week of acceptance. If project is not delivered in the time frame, the programmer agrees to cancel and refund project fees.


Posted In:

Programming

Form



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The fields need to be editable and allow customization and changes as needed... the form is below and the sample output is attached

Click here to see the form and all the data we require

http://www.lawdepot.com/contracts/perfagree/?back=yes&referal=

thank you

Need a form created in PHP - urgent work  

basic eror detections

The form needs to have a specific look
The HTML is ready for this

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IMPORTANT: the work needs to be completed within 1 hour of awarding - this is a MUST

Please PM for details

The project pays $ 30


OM

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Additional files submitted: (Files are only available for logged in users)
Input_Form.jpg
Results.jpg

Search Form Script Php Or Suggested



I am looking for a script where if someone uses the search form on a certain keyword if listed on the list would add another keyword next to it to help refine the results on known errors to show a more relative listing.

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Need online form created for website. Need it to have all the fields of the attached file. It should look very close to the form attached. Also
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Fields required for the form:

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state


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Multi-combo Search Form




Below is the output which needs to be shown after a search is generated:

title
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