I need a form created for customers to type their information into on my website, and then pay for their ad insertion or annual print subscription. The website is www.moderneducation.co. The form will include:
1) First Name, Last Name (text field)
2) Address (text field, dropdown for state & countries)
3) phone number (text field)
4) email address (text field)
5) website address (text field)
6) Do you want to place an ad or subscribe to the print edition? (Pulldown)
7) For Ad: ad size (dropdown)
a) Classified ad, 10 words, $10
b) 1/32 PAGE (2.4 x 1.4 inches) $25
c) 1/16 PAGE 2 columns (4.9 inches) x 1.4 inches $45
d) 1/8 PAGE 2 columns (4.9 inches) x 3.1 inches $80
e) 1/4 PAGE 2 columns (4.9 inches) x 6.3 inches $150
f) 1/2 PAGE HOR. 4 columns (10.1 inches) x 8.02 inches $275
g) 1/2 PAGE VERT. 2 columns (4.9 inches) x 12.9 inches $275
h) FULL PAGE 4 columns (10.1 inches) x 12.9 inches $500
i) FRONT PAGE AD 4 columns (10.1 inches) x 2 inches $315
j) Web only ad ([login to view URL] website & Facebook) $10
k) Other custom ad
8) Ad color pulldown (color or black & white)
9) Checkboxes:
a. Create my ad for me ($15)
b. I will provide ad
10) File upload button & field for ad, logo, or other images for the ad (allow multiple files)
11) Text field for custom instructions or text for Classified ad
12) Offer No. of months to run ad:
l) 1 month
m) 3 MONTHS (10% DISCOUNT)
n) 6 MONTHS (15% DISCOUNT)
o) 9 MONTHS (20% DISCOUNT)
p) 12 MONTHS (25% DISCOUNT)
13) For Annual Print Subscription – Snail Mail ($15.00)
14) Add sales tax (7%)
15) No shipping
16) Offer several free options for payment
a. Paypal
b. Google checkout
c. Amazon checkout
d. Any other easy checkout option
Hello sir, i am expert Web developer. i am really interested to do your work. i can done your work easily. Please discuss further details in message.
Regards
yillibrown
Our services includes all types of indoor & Out Door advertisement such as:
Advertising (Print, Multimedia,
Web,Screen & Thermal Printing)
Event management
Graphic design
Photography
Videography
Product Ads Stands
Billboards
Bulletin
Posters (Premier Panels)
Mobile Billboards
Website
Interior Designing
Sign Boards
Identification Cards
Corporate Gifts
Besides the items mentioned, please note that we do have a whole range of ideas for.
We will provide you every best service in the market.
With best wishes
Sincerely,
Noman Ahmed