Script for a optin form

Avg Bid (USD)
Project Budget (USD)
$30 - $250

Project Description:
Need somebody who can create a script that allows data from a optin form to redirect data to two places (two action rules). Also, all the submission to be tracked via tracking link I will provide you. Please let me know this is possible and if you have any other questions.

Skills required:
AJAX, Javascript
About the employer:
Public Clarification Board
Bids are hidden by the project creator. Log in as the employer to view bids or to bid on this project.
You will not be able to bid on this project if you are not qualified in one of the job categories. To see your qualifications click here.

$ 185
in 3 days
$ 105
in 0 days
$ 130
in 2 days
$ 111
in 3 days
$ 147
in 3 days
$ 136
in 2 days
$ 200
in 7 days
Hire Freelancer8
$ 30
in 1 days
$ 144
in 3 days
$ 144
in 3 days