534864 Simple Form and Database

This project was awarded to mindprogram for $25 USD.

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I run a site [url removed, login to view] I am looking for someone to replicate the wufoo form that I have up right now. Just needs the exact form as well as all of the data to be put into a database that can be imported into various mailing services ex. "Mail Chimp"

Needs this done asap.

Thank you.

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