Simple PHP Form for emailing results to Pipedrive.com CRM

Contest Brief

Need PHP form that sends the imputed information via email.
The form will have three (3) fields: Name, Email, Phone Number.

We use PipeDrive CRM. If the email contains the below code in the “body”, it will automatically add the info to the CRM.
{
"item_type": "deal",
"title": "Deal Name",
"organization": "",
"value": "",
"currency": "USD",
"owner": "user@[url removed, login to view]",
"visible_to": "1Visibility level of the deal:0,
"person": {
"name": "John Doe",
"email": "api-person@[url removed, login to view]",
"organization": "",
"phone": "555-555-5555"
}
}
Above is an example if the user filled out the PHP Form like this:
Name: John Doe
Email: api-person@[url removed, login to view]
Phone Number: 555-555-5555
(As for everything else in the “body” of the email, leave as-is)

Must be in PHP and work on Linux server. The server requires authentication (email & password).
Must be compatible in IE, Chrome, and FireFox.
Must demonstrate it will work on our servers prior to payment.

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Employer Feedback

“Excellent work with Great followup. We definitely use again. Thank You, Steve”

Profile image montauk, United States.

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