Lead Capture Script

Avg Bid (USD)
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:
Public Clarification Board
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