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2622 simple mortgage lead site

Hello, I just purchased a mortgage lead site, had it uploaded, and it really is not what i am looking for. Now to start from scratch :( I want it simple, example : [url removed, login to view]?KNC-overture the only additions i need to the form is percentage rate paying now, and orrigination date of existing loan. form boxes needed: First Name: Last Name: Email Address: Phone: Estimated Credit: ** -Choose One- excelent, good, fair, poor Type of Loan: **-Choose One- Refinance Purchase Home Equity Loan Property State: **-Choose One- list state abrev. What Is Your Home Worth? $ Current Mortgage Balance: $ 2nd Mortgage Balance: $ How Much Additional Cash Would You Like to Borrow? current interest rate? start date of current loan? ** -choose one- denotes a dropdown box (does not have to be, your choice how to do it) The form when submitted will be sent to email, and a confirmation page will appear. also contact page needed. I want generic site done with all the source code for future leads sites we may do, and the finnished product installed on our hosting account. The finished site can be as simple as the one provided as an example, or if you want to wow me it is up to you, but simple is the minimum. I hope i included enough info, will answer any questions fast as posible. Brian

Kĩ năng: Bất kì công việc gì, MySQL, PHP, SQL, Thiết kế trang web

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( 28 nhận xét ) Spring Grove, United States

ID dự án: #1753491

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Hello, I can help you with this porject. Thanks, Anil Guha.

$110 USD trong 3 ngày
(105 Đánh Giá)