On line order form and data capture

On line order form and data capture

Closed - This job posting has been filled and work has been completed.

Job Description

I am looking for an off the shelf solution if possible or third party template to produce an on line order form that can operate the following:-

On line order form.
The order form is a simple form listing:- Name, Address, Phone number, email, product. (one only) Tour, signing up to, Reference. Agency number field, (changed manually by the agent emailing the order form.)

Job specifics:-
* Payment options to include Paypal and Worldpay (streamline) within the on line form.
* Once the order is confirmed, auto email a client receipt plus one page. (you now need to send us the following info)
* Order capture to email a specified sales email address.
* Data capture (all fields) We have no current database or database software!
* To run a daily script so that the database can send an annual reminder of renewal sent one month ahead to staff and/or standard renewal letter to the client at the same time. (current subscription of our service is for 12 months)

We require this order form by the end of November. (two weeks)

We only have at this time one product, though there may be options to add a multiple of that product. (no more than 4 products in total.)

I am sure most of what I am after already exists, and so may not require actual coding, simply the bringing together of these elements within our environment.

I have an existing order form online at www.emcsales.co.uk VR2020 marketing platform. I hope you can help and look forward to receiving your offers and solutions. I can pay per hour or project.

Thank you Stephen Chapman.

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Skills: online-payments, paypal, marketing