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120101 Lead Capture Form

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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.

thks
Sample merchant site [url removed, login to view]

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