hml form with paypal checkout

hml form with paypal checkout

I want html form with paypal checkout.I need following fields:
1)name
2.)email
3)dob
4)phone number
5)one blank text field
6)address
7) multiple selection( radio or checkmark)
8)one extra blank field
9)one drop down.

Total amount is $35

Enter any paypal email

________Ingore_______________


Be as descriptive as possible. Provide samples and explain what you expect from anyone who accepts this project. The more details you add, the easier it will be for freelancers to live up to your expectations. Bidders will use this description to view and bid on your want.

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Requirements

I want html form with paypal checkout.I need following fields:
1)name
2.)email
3)dob
4)phone number
5)one blank text field
6)address
7) multiple selection( radio or checkmark)
8)one extra blank field
9)one drop down.

Total amount is $35

Enter any paypal email


__________Ignore_______________________________

Be very specific about what you want and expect from workers. Use bullet points to more effectively list what you want. Any bidder must accept these requirements before they can bid on your job.

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Skills Required

Htm Php