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303627 Need form designed from PDF

I need the attached PDF file to be created as a web form keeping the style (css), i don't need the php part, i just need to make sure all the fields have unique names and is ready for me to create the php part.

PS. form is on spanish and the first page of the PDF is not needed only page 2 and 3 are needed.

Please don't bid if you can't work around defined budget limit.

Taidot: kaikki käy, CSS, verkkosivujen suunnittelu

Näytä lisää: create web designed, create pdf file, form fields pdf, names spanish, form style, web design php pdf, pdf php create, form css style, create pdf file php, need form created, unique website names, style form design, pdf form file, form design pdf, pdf form design, create pdf design php, pdf file web page, css web form design, web page pdf php, designed pdf

Tietoa työnantajasta:
( 2 arvostelua ) san diego, United States

Projektin tunnus: #2049418