Laravel checkout designs

Laravel checkout design / mobile clean layout

I need design in Laravel

Checkout is as follow

Send policy to:

Tom Smith

123 smith st

Smithville mo 65049

Manhattan dental

Tom smith $42.00

Sally smith. $12.00

Payment options

Stripe button. ACH Bankdraft button

Clean enter credit card options on drop down

Clean bank info to input bank info

Bottom button. Complete payment

Secure checkout listed at bottom

I want 4/5 designs. In rough format. Then I will pick 1 to work on...

I also need design code....

It’s just for design. Page doesn’t have to make transactions

Thanks. Christopher

Skills: Android, Mobile App Development, iPhone

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Project ID: #22492393