WordPress Exit Pop-up Script

This project received 4 bids from talented freelancers with an average bid price of $70 USD.

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Project Budget
$30 - $100 USD
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Project Description

We use FlexSqueeze Theme on WordPress and we need an exit pop-up script made.? The popup should work with? Action Popup plug-in for wordpress or some equivalent plug-in.

The script would capture a few details:
1. name;
2. email address;
3. numerical data 1 (drop down menu 1-10);
4. numerical data 2 (drop down menu 1-10);
5. numerical data 3 (drop down menu 1-10);
6. numerical data 4 (drop down menu 1-10); and
7. language data 1 (drop down menu of a selected list of words).

The data captured from numbers 3 thru 6 above would be plugged into a very very simple excel forumla (eg no.3 x (no.4-no.5) + no.6 or whatever) to generate a result number.

The result number and the language data 1 captured from number 7 above would be dynamically inserted into prepared text for an email automatically sent to the email address with Aweber.

The pop up needs to be attractive with clickable boxes and a couple of graphics.

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