I need a simple login form to collect First Name, Last Name, and email address. This is a leads capture form so I don't need a registration form. People will simply enter their info and submit. After the form is submitted they need to be redirected to a secure page and the form info needs to be emailed to the admin. Also include a checkbox saying they agree to terms and a captcha (or similar) for anti spamming.
The email address and check box will be the only required fields. Database is not necessary either.