I need a VERY SECURE data entry portal built that will be web based and is compadable with iPad/Android/Lab Top/Note Book/Mac/ie/Safari/chrome/firefox. This portal will have a secure login to a form where the data will be entered. This portal needs to be built with PCI DSS security standards ([url removed, login to view]). Please see attached PDF that explains in more detail. Also attached in a PDF of the paper forms (application).