We are looking for a html form based system for our merchant card redemption process. Our clients will be receiving cards with a 7 digit alphanumeric code on them. Clients will then go to our website and enter the card numbers to receive payment from us. I have attached a step by step process of how the form would work start to finish. This form would be connected to an a database. **Database fields needed** Course ID# (client log in) Course Name Contact Name Email Address Street Address City State Zip Phone Number Card Number Card Color Expiration Date Redeemed Date Package Area Code ---B-Bay Area - "Payment Amount" ---C-Central Valley - "Payment Amount" ---S - Sacramento - "Payment Amount" ---L - Los Angeles - "Payment Amount" **Other Database Needed** -Ability to upload CSV file with 80,000 card serial numbers and expiration dates -Ability to export CSV file of card numbers that have been entered by our clients. -"Live" connection so our clients can verify valid card numbers in real time. Valid card numbers would show a green "check mark", in-valid card numbers would show the user a red "x". ***Sample Form Examples*** -Add Client Form (only used by admin users) /forms/?1167009-utQsyh0bFu -Example of Client Form Experience /forms/?1158002-c7N2JdCF3S The html form code would be embedded on a custom wordpress template page. Desired Skills: Microsoft Access, AJAX, HTML, Embedded System, Database Keywords: Database Development, AJAX, Embedded, Database, HTML, Access, Microsoft, System