Editing Lead Capture Form - Adding Time/Date Capture + IP Capture

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Bids
0
Avg Bid (USD)
N/A
Project Budget (USD)
$30 - $50

Project Description:
I have code for a lead capture form that i need a couple thing added to. I need to capture the time and date :CAPTURE_TIME in this format: MM/DD/YY HH12:MI PM (3/14/05 1:30 PM) And also the IP Address :IP_ADDRESS Here is the form i need edited http://www.agmont.com/leadcap/paydayform.htm I was told that this should be pretty easy to do. the form code that needs editing is in a text file here: http://www.agmont.com/leadcap/formcode.txt Also if you have experience with lead capture forms, let me know because i might have other work for you thanks

## Deliverables

1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.


2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):
a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.
b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.
3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).

## Platform

html

Skills required:
Engineering, MySQL, PHP, Software Architecture, Software Testing, User Interface / IA
About the employer:
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