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130672 login form w/email to admin

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.

Kĩ năng: Bất kì công việc gì, MySQL, PHP

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Về Bên Thuê:
( 19 nhận xét )

ID dự án: #1876840

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We will do it as per requirements. Regards Sunsoft

$10 USD trong 1 ngày
(189 Đánh Giá)