Make Simple Lead Capture Page

IN PROGRESS
Bids
6
Avg Bid (USD)
$45
Project Budget (USD)
$30 - $250

Project Description:
I need a simple Lead Capture Page just like
the one in this attachment.

It is a very basic page as you will see.

I will the the email code into the email box.

The winning bidder will be chosen on Competitive bid like $30.

See attachment. Make exactly like you see it except take out name at bottom and "extraneous" code.

koj

Skills required:
HTML
About the employer:
Verified
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