14150 Membership Form / PHP-MYSQL

Create new form in PHP/ MySQL Database – current for is in ASP. The ability to: [login to view URL] – Edit /modify – Delete, records in Admin Screen / no login needed will be secured folder. [login to view URL] Field “Credit Union” – Modify from Admin Page [login to view URL] to upload records – CSV – In Admin Page [login to view URL] adding a new record •Bulk upload of records or user submits completed web form - email is then sent confirming membership. •Email Template editable in Admin (Html version – copy past new html) this is the template for the confirmation email. [login to view URL] to download CSV for import into excel [login to view URL] on or off 1 year expiration of records – In admin screen [login to view URL] to print and pay by mail. [login to view URL] by Pay Pal then return to confirmation page. Current ASP form to be rebuilt.- [login to view URL] Fields in database (all fields required): [login to view URL] Number (auto populate) [login to view URL] (First) [login to view URL] (Last) [login to view URL] (Middle) [login to view URL] (Street) [login to view URL] (City) [login to view URL] (State) *Pull down Menu [login to view URL] [login to view URL] Email *only used in form validation [login to view URL] *Not in form – hidden field edited from admin screen