120101 Lead Capture Form

This project is now closed with a project budget of N/A.

Get free quotes for a project like this
Employer working
Skills Required
Project Budget
Project Description

Hi All,

I am looking for an intelligent programmer who is experience with PHP/MySql script development to capture all visitors information before sending off site to merchant's signup page

The script has to perform the following tasks:-

0/ Create a new campaign for the html form
1/ Generate a html signup form to be put on any of myown sites with input fields correspond to merchant's signup form
2/ Verify the integrity of inputs from visitors
2a/ Check for duplicate enry using email & ip ? of the same campagin
3/ Store all information in the database
3a/ enable/disable Subscription to Aweber with Email & First Name with list information in campaign setting
4/ Post/Map all fields/selected fields to merchant site after clicking the "submit" button
5/ Optional: Check if leave previous site and Direct visitors to another merchants
6/ Direct user to a "thank you " page.

Please feel free to bid or ask question when clarifications is needed.

Sample merchant site [url removed, login to view]

Looking to make some money?

  • Set your budget and the timeframe
  • Outline your proposal
  • Get paid for your work

Hire Freelancers who also bid on this project

    • Forbes
    • The New York Times
    • Time
    • Wall Street Journal
    • Times Online