Need a spam proof web form that will input to a database table you will create with the following information and will also send the information to multiple email addresses:
Form name "Defective"
Name, Address, City, State, Phone, Date and Message box for the users text input.
Then it must send input to 2 separate email addresses and the database.
This is very easy and straight forward and should take very little time to complete.
Fast payment for finished work as usual.