I am in need of someone to create and install a form for on a Web page.
The Web page will contain a Terms of Service agreement. At the bottom, the viewer will be able to choose "Yes" or "No" and then, in other fields, input their name, address and e-mail address.
I would then need this completed form sent to me via e-mail.
The information gathered from the form must include the information they inputted along with their IP address.
Once the script is completed, I would need it installed on my site.