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117553 Input form and customer DB

Hi,

I need a expert firm to create a input form with the following fields:

Name:

Company:

Address:

City:

State:

ZIP:

Phone:

Email:

Property Type: (dropdown with multiple options)

How did you hear about us? (dropdown with multiple options)

After you need you to create an comprehensive online database (MySQL) to manage this information. This online database needs to be password protected, have filters, the ability to import contacts in CSV format and more.

We like clean interfaces like [url removed, login to view]

Thank you,

Marcos

Kỹ năng: Adobe Flash, Bất kì công việc gì, MySQL, Perl, PHP

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( 21 nhận xét ) San Diego,

Mã Dự Án: #1863720