Convert PDF to Web Form and make a associated data base

Closed Posted May 26, 2012 Paid on delivery
Closed Paid on delivery

Need someone to convert a PDF form to a web form that when filled out it produces an email or pdf that looks like the form. Data must go to a mysql database. Also need simple php page that can pull the info from the database, list by first/last name to print out of web browser.

The PDF form are anywhere from ~30 to 1 page long. total of 15-20 forms. which include mainly text field, number fields, check boxes, radio bottoms, the Web from must look exactly like the pdf form. There is a skip logic built in the form. i.e. if B is not applicable go to F. Must have ability for signature and shown on the signature line.

Form can also just send email with basic info and have link to web site that pulls the info and has a printable form that looks like the PDF form.

One of the largest form is attach for your review.

Project MUST be completed and submitted by June 30th 2012. Do not bid if you cannot finish by then.

MySQL PDF PHP

Project ID: #1659619

About the project

3 proposals Remote project Active Jul 2, 2012

3 freelancers are bidding on average $916 for this job

zeke

Dear Customer! I am an expert web developer with over 6 years of experience and very interested in this project. Ready to start immediately and finish as soon as possible. My bid is for fast professional service exc More

$1000 USD in 5 days
(143 Reviews)
6.8
sritechnocrat

Sri Technocrat is marvelous in its quality. We have been maintaining the quality in every field whether it is services or training. We have proved our stability. We have been working with the same grace & quality. Our More

$750 USD in 5 days
(41 Reviews)
6.7
steven6

Hello, we are a group of programmers based in Sheffield, UK offering 7 years experience in php, .net, c#, jquery, css, python and c++. I am proposing to carry out tasks required for this project and deliver it within 5 More

$999 USD in 5 days
(29 Reviews)
5.6