website and contact details capture

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Hi, I want to set up the back end for a website and then finalise the design and text and images. The new site needs data capture. When people are directed or find the site I want a working method of capturing entered fields and other user data which can then be seen in table format and downloaded in an admin area. The site is [url removed, login to view] I have set up a sub folder and put two very rough web pages in that folder. In the subfolder you will see a data entry mock up. Please make that real but in a new set of pages. The rough mock up I have done is at: [url removed, login to view] In the admin area I want to see the results from that screen as well as related contact data which a visitor may not provide country and other fields for that user. Just a simple table in the admin area of the data will be fine and then export download to excel please. The admin area will need a password issuing area and require a password for access and be in the SSL area of the site. I have SSL but have not activated that yet. Critical thing is seeing the working data capture, even in limited capacity, first up, then complete that before anything else. There is no attachment to the current web pages. Many thanks. Happy to answer questions and put those answers in the job particulars. Regards Andrew Salmon

Skills: .NET, HTML, MySQL, PHP, Website Design

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Project ID: #4029629