PHP Form - Open House Sign In

Avg Bid (USD)
Project Budget (USD)
$250 - $750

Project Description:
I need someone to design and create a PHP web form that is designed for multiple real estate agents to capture open house attendees information.



-Sophisticated "Setup Page" - this page is where each individual user will enter their Name and E-mail address (in which all responses will be sent) ***Note: This will not be a static e-mail address

-Design - Look and Feel should be very friendly and easy to use

-Optimization - We will need this web form to be optimized to fit both iPhone and iPad platforms

I am very open to discussion of any suggestions that may improve this form.

Skills required:
HTML, iPhone, MySQL, PHP, Website Design
Additional Files: Open+House+Sign-In+Form.docx
About the employer:
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