In Progress

218529 Lead Capture script.

I am looking for a lead capture script, I have created the form which consists of first and last name, address1 & 2, city, state, country,zip code, email and phone. I would also like to capture their IP address.

Would like a function that would send an email to verify their email.

I need to submit form, post to MySQL database and also email me the information.

Export leads from database.

Skills: AJAX, Anything Goes, MySQL, PHP

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About the Employer:
( 3 reviews ) Bellevue,

Project ID: #1964762

Awarded to:


Hi there, I can get it done for you. escrow needed. thanx

$35 USD in 0 days
(341 Reviews)