Check Control/paypal Redirect

Check Control/paypal Redirect
I have a website which contain a form, and I am not happy from it ;-(

You can view it here :
http://tinylink.com/?XLYb5yAOpQ
and the same form on a second page here : http://tinylink.com/?lvKahFVZIF

I want a more modern “control check” for this form to replace this in place, and want that you used this script to the job of the control :
http://tetlaw.id.au/view/javascript/really-easy-field-validation <—- this one to replace the old, and NOT one other !

Layout and presentation of the new form must be exactly the same as that currently online (respect colors of the font, background, etc…), you must use the above script (AJAX).

When the form is properly completed and that all checks are ok, I must receive all informations at my email address and in the same time in a database. The data base doesn’t exist, you will build it (I have create a blank database on my server for this).

After this, the visitor should be redirected to my PAYPAL payment page.
(I have see here exactly what I want and you can test it : http://tinylink.com/?49Oe1iGSIR )

To make the user wait, you will add a progress bar from the time the customer validates the form and the time the paypal page is displayed (with a web 2.0 effect)

The payment page must be pre-filled with information of the form (country, first name, last name, complete adress).

When the paiement is done, the visitor must be rediret to a confirmation page wich will contain the message “payment and form are well recorded and sended”. This page already exist on my server.

Check to do for thie fields :

– all fields must accept this characters : letter + accented character + dash, with some exceptions.

– Né(e) à l’étranger : must be selected by default on “non”. If “oui” is selected, then must appear a new field “Pays de naissance”, and the field “Département de naissance(ex: 75)” must be automaticaly pre-filled with “99”, and user musn’t be able to change this “99”, except if the user change the “Né(e) à l’étranger” switch to “non”

– Département de naissance : maximum 2 numbers, letters are not allowed

– Votre numéro de sécurité sociale (15 chiffres): must be 15 characters, only numbers are allowed + a specific check explain in the attached file of this project. Please read it for details. You need a password to open this word document, you can ask it me 😉 It’s to be sure that you will have read my specific 😉

– Numéro de sécurité sociale non attribué : if this is check, then the field “Votre numéro de sécurité sociale (15 chiffres)” must be automatically completed with zeros.

– Exercez vous votre activité à cette adresse ? : must be selected by default on “oui”. If “non” is selected, then must appear 3 other fields (actully there appear on the form), but if “oui” is reselected, then this 3 fields must redeseapear.

– Retapez votre E-Mail : must necessarily retype the email, copy / paste should be banned

– Je certifie être majeur(e) et avoir lu et accepté les CGV : nothing must be pre-fielled, and if “oui” is selected, then continue ok, if “non” –> back to index.php

When I select a programmer, I will communicate a paypal programmer information account.

Please, if you need some explanation, ask them 😉

Best regards,

André

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