Microsite template for leads generation

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Bids
3
Avg Bid (USD)
$183
Project Budget (USD)
$30 - $250

Project Description:
Hi people:
I would like to test a business model, so I'm working on a prototype, which consist of just a microwebsite (1 document). Its goal is generating leads for my customers. I understand a lead as a contact, in other words it means that a visitor should write and send us his: name, email, phone number and so on. My customer should receive that information via email.

I will generate the traffic and I´m looking for someone who could help me out designing the site, I need that this microsite receives this traffic and be able to generate a mail throught a "contact formular".

I need this template to change it and creating new microsites from this template for future campaigns.

The flow is the following:
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1) User goes to Google
2) User goes to my "micro website"
3) User fills in the "contact formular"
4) My customer receives the user email contact.


Other info
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- As the work is creating a template, i'dont have a topic defined. You can use as a topic a hotel, lawyer office or an "it company" as reference for the design.
- If my test works, i could ask new templates in the future
- I´m happy to see good designs.
- One big picture on the top of the site it would be ok, but i'm open to receive surprises.
- I attach some examples, they don't like me but are examples of the structur and what are the goals.


Requirements and conditions of the work
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1) PHP formular is required and must be embeded on the site, fields mandatories are: name, email, phone number. Optional: commentary.
2) Template should have the capability to have a google map embeded (optional)
3) Template should have the capability to have a video (vimeo) embeded (optional)
4) PSD files are required (mandatory).
5) The tipography are required, in order to I could create new sites in the future (mandatory).
6) Work is finished when the files are uploaded.

Please if you have any question feel free to write me, this is my first time here.

Regards.
Federico.

Skills required:
HTML, PHP
Additional Files: leads+ideas.docx
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