Web Developer

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  • Proposals 2
  • Remote
  • #24316
  • Archived
Tim S.Tracey W. have already sent a proposal.
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Description

Experience Level: Intermediate
I\'m looking for a web developer to make a custom order form webpage I can link my other website pages two. I am looking to capture payment information and make a real time transaction with a authorize.net payment gateway, or something similar.

The service I provide to my customers requires a $43 monthly subscription, so I would like the order form to also set up a reoccurring monthly payment with authorize.net (or similar).

I am also looking to capture a couple other pieces of information including:
email
phone
an uploaded picture
Numis ICR# (for your purposes just know this is just a 4 to 5 digit number)

I would like this information, along with confirmation that the payment when through, sent to me via email after the transaction takes place.

I would also like a receipt/ thank you email sent to the new subscriber.

I use Aweber to send out emails to my prospects. If possible, I would also like the form to integrate with Aweber so the new subscriber is added to an email list.

I would like the form to look as simple as possible with my logo posted above it. Check out http://prointernetmarketer.com/ericyoung/order for the page that will link to the page I want made. I will want the payment page to look similar.

Thanks for taking the time to read about my project.

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