develop acrobat form

I need an existing paper form converted down to an acrobat form on a smart phone.

I will have two selection lists:

1. Customer and Customer code

2 Procedure Code and Procedure

the procedure code and procedure will be used on 10 different items

the form sill then be put to a server https:

I have the genesis of the form but I don't know javascript

Skills: Javascript

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About the Employer:
( 1 review ) Richardson, United States

Project ID: #10088535

Awarded to:


Do you require an acrobat PDF form or HTML form? Please clarify. If this is acrobat PDF form then I can do it in the time specified.

$66 USD in 2 days
(2 Reviews)

4 freelancers are bidding on average $125 for this job


Feel free to contact [login to view URL] is not any issue as well. we can manage each and everything via private messages. I not only provide the best solution but also help the client with comments,demos and live sessions.

$200 USD in 3 days
(5 Reviews)

Hello. Welcome to your proposal. I am a MySQL, PHP, Javascript expert. I completed the many web development projects in the past and I have a lot of experience in them. Specially, I built the many sites and made man More

$55 USD in 3 days
(4 Reviews)
$100 USD in 3 days
(6 Reviews)

Hi, I’m dedicated professional Web and Desktop Programmer & Developer and also Team leader of my company. I have been working with challenge and hope to improve future plan with good network every client. If any clien More

$155 USD in 3 days
(1 Review)

[login to view URL] name is Ashot Davtyan.I am working with bootstrap and jQuery. I have basic skills of PHP/MYSQL/CODEIGNITER and i can work with databases too.I can make applications responsive too for any [login to view URL] i am look More

$221 USD in 3 days
(1 Review)

Hi, I have more then 5 years experience in web development. Last 3 years I was working as team leader at one of the best gaming companies. There is not any issue that I can't solve in web development

$277 USD in 3 days
(0 Reviews)