Custom PHP form ajax submit to CRM with captcha

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Project Budget (AUD)
$30 - $250

Project Description:
We require a form in php to submit data to a custom CRM application in asp. The form must use ajax and we also require a captcha such as

Additional Project Description:
07/08/2013 at 16:15 IST
form just submits to a url, not hard, we have it work with jquery just need php to process the capture

Skills required:
jQuery / Prototype, PHP
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