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Basic web lookup via a csv file

I need a web based lookup form. where a user enters in the following:

last 4 of the SSN:

First Letter of First Name:

Last Name:

Billing Date:

Amount Due:

it then returns all records in the CSV file with that information:

with the following Items Prefilled in a form file format:

<body>

<form action="[url removed, login to view]" method="post">

<input type="hidden" name="amountDue" value="[url removed, login to view]">

<input type="hidden" name="AccountName" value="Payment">

<input type="hidden" name="lastName" value="Payer">

<input type="hidden" name="firstName" value="Joe">

<input type="hidden" name="paymentType" value="Single">

<input type="hidden" name="billerId" value=”AAA">

<input type="hidden" name="billerGroupId" value="BBB">

<input type="submit" value="Make Payment">

</body>

Also if you need to convert the csv file to a db file than you must write the code to do that and have a admin section to administer that.

the database should be overwritten when executed.

NO PHP, NO MYSQL. This will run on a IIS server.

A test file is in the added files

Correction, they enter:
Last 4 of SSN:
Fist Letter of First Name:
Last Name:

and Returns Billing Date:
and Returns Amount Due:

Habilidades: Design Gráfico, HTML, PHP, Design de Sites

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Acerca do Empregador:
( 29 comentários ) san diego, United States

ID do Projeto: #5118747