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134213 very simple signup form

Hello,

Looking to have a very simple signup form, that writes the results to a csv text output file.

The form would have: name, address, phone, email, comments.

The script must record the date, time, and IP address of the person filling out the form (and add this information the the csv text output file.)

There will be two html/php pages for me to view the results. One will be for public view on the website. The other one will be for admin view only.

The public view will have these fields only:

date, name, city, state, comments

The admin view will allow the admin to see everything (including date and time, and IP address).

I would like the script to send me an email every time that someone signs up on the form (and show me the full information).

Thanks

Kỹ năng: Bất kì công việc gì, Perl, PHP

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Về Bên Thuê:
( 51 nhận xét ) Philadelphia,

Mã Dự Án: #1880385

1 freelancer đang chào giá trung bình $20 cho công việc này

$20 USD trong 1 ngày
(8 Đánh Giá)
4.3