Instant Quote Form

IN PROGRESS
Bids
11
Avg Bid (USD)
$110
Project Budget (USD)
$30 - $250

Project Description:
I have a set of variables that go into giving a lead an instant quote on workers compensation. The variables are in csv format, not sure if this matters.

What I need created is an form that I can put onto my website. When they fill out the form criteria I need the form to produce an instant quote based on the criteria in the csv on the site. Along with giving the lead an instant quote, I need the form to capture the lead information into Infusionsoft.

If you have questions or need clarity, please feel free to send me a message.

Skills required:
MySQL, PHP
About the employer:
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