design page for word press site w form simple programming
$30-250 USD
Paid on delivery
MFH Specs Project:
will give you login to our WP admin and FTP as needed
Tasks: Create new page and mailer for page + fix text on home page + change menu - Design and simple Form Programming - validation of fields and emailing
1. Create Site page for Physician Advance W/ HTML Mailer
(HTML mailer will not contain the form - instead will have on top , and bottom buttons for:
Get Instant Physician Advance - Get Funding Today!
Site - page design: see in specs
Keep colors Black and Green Consistent
Specs:
Design need to include a Form
A. Form area on top right of page
See form attached
Special Physician Advance Program Application
(smaller text) Same Day Funding - Average 350K Per Location - Best Rates - 14% Average Interest
(soft credit check - bad credit OK - Cash Flow Based - Pay in 18 months - Lowest Interest)
First Name
Last Name
Provider Name
Download Our physician Advance Application
Upload your Signed Physician Advance
Upload your last 4 Bank Statements
* All fields above required
Submit - will send all via email with the attachment to email we give you
and send us email notification when submitted to 2 email addressed
B. Area from Top for landing page:
Header:
rest of specs in file attached
We need it done in 24 hours
We will give you original PSD - we should have if you need
Keep same font and design consistent with main site
Budget $70-$100 +/-
Tell us with your budget if you will do the HTML mailer also or not
We can always do it later. so your decision with budget
Thanks
Project ID: #15532889
About the project
25 freelancers are bidding on average $175 for this job
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