Lead Capture Script

IN PROGRESS
Bids
1
Avg Bid (USD)
$30
Project Budget (USD)
$30 - $250

Project Description:
I need a script to capture the lead data on my website and send it to a file or an excel spreadsheet. The fields I need captured are

First name. last name, requested amount, street address, apt number, city, state. zip and email address.

These are the only fields on my website.

Skills required:
Data Entry, Data Processing, Internet Marketing, PHP, Web Security
About the employer:
Verified
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.