Lead registration form PHP/MySQL

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Bids
39
Avg Bid (USD)
$116
Project Budget (USD)
$30 - $250

Project Description:
Form fill out for registration. Validation for all forms on the registration page. Once registration is complete, email will go to client with registration information and user will go to "thank you" page.

1) First form will be for the " Payday Vertical" see sample link:
http://www.paydayone.com/ , https://www.ameriadvance.com/

2) Second form will be for the " Debt Vertical" see sample links below:
http://www.freedomdebtrelief.com/apply/debt-relief-help?partner=wm&keyword=debt

https://www.bills.com/debtrelief/debt-relief/?rbc=bills+google&rbk=debt&src=google&kw=debt&ag=debtconsolidation&rbt=debtconsolidation&gclid=CKKrq4HDk6wCFQ40hwodhxqLqA


3) All the captured data (info) will go into a MySQL database

Skills required:
HTML, Javascript, MySQL, PHP, Website Design
Hire tenico101
Project posted by:
tenico101 United States
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