Lead capture page

Budget $250 - $750 USD
Bids 24
Average Bid $537

I am building a site that captures leads from companies that need wifi services.

I have the design already complete, however, because this is a lead gen landing page, we have created five designs which will all need to be converted from PSD and then will need to rotate (although we will want to use cookies to make sure people who see one design ALWAYS see that design until they clear their cookies).

The site is literally one page with three AJAX elements:
1. the initial contact capture (name, email)
2. further details about the project
3. confirmation/ success page

As soon as the information is submitted, the site will us an email with all the fields, PLUS the IP of the sender, name of the landing page design, and the source of the visitor.

We also need to send the visitor a quick text email thanking them for their submission.

More details about the form fields and upload of the design will be provided after a developer is selected. Payment will be released upon inspection of the code and its functionality.

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Bids on this Project

  • netxpertindia Profile Picture

    netxpertindia

    New Delhi,  India

    I am EXPERT in CSS, XHTML, PHP, Flash, MySQL, Dreamweaver. I have 8+ year rich exp.

    PHP, Java, Website Design, and Graphic Design

  • miniric3 Profile Picture

    miniric3

    Bay of islands,  New Zealand

    Kiaora, welcome to Mulvays.com!! We are a business solutions company who use teams from freelancer to complete our marketing and business sooluion software and websites.

    CSS, Cloud Computing, Magento, and Drupal

  • superlayout Profile Picture

    superlayout

    Karachi,  Pakistan

    We are a team of professional designers and developers who are in this field from more than 13 years. We are a web, template and landing page design, UI/UX design for App and Web plus Development Company, providing web development in PHP, CMS based websites, E-commerce website, WordPress, Joomla, Drupal, Magento, logo design, brochure design and banner design... We also provide SEO and hosting services

    Graphic Design, Banner Design, Logo Design, and Mobile Phone

  • mindblowcreative Profile Picture

    mindblowcreative

    Mandaluyong City,  Philippines

    In the year 2013, cyberspace was in a time rift. Technology started to travel at hyperdrive speed, leaving behind internet denizens who did not know if the innovations they faced were merely temporary trends or the true path of the future to come. Enter Maverick Heroes – Saviors of Cyberspace! We rocket-punch bad graphics, roundhouse loopy links, and energy-blast the crap out of bug-riddled programs! See us upgrade websites with our visionary spunk and cyber-cosmic power combos. Young, unyielding, and a bit off-kilter, we proudly launch cyberspace citizens into the 21st century. Forgive us this one use of convention: Just like other champions across history, we’ll let past missions speak of our legendary online heroism. Enjoy your journey!

    PHP, ASP, Java, and Javascript

  • jsinfoway Profile Picture

    jsinfoway

    Bhubaneswar,  India

    JS Infoway India's leading web design and development company.

    Javascript, Website Design, Logo Design, and AJAX

  • ahtsolutions Profile Picture

    ahtsolutions

    Hanoi,  Vietnam

    ArrowHiTech Jsc is a Vietnam outsourcing company of excellent programmers and designers whose products' quality is proved since our early stage. We are one of leading companies specified in web development, mobile & tab development, internet marketing in Vietnam. Established in August, 2007 ARROWHITECH JSC have gained valuable experience in developing outsourcing services on a lot of systems such as: Ecommerce (Magento, Opencart, Prestashop, zencart, oscommerce, Virtuemart, Woocommerce … ), CMS (Wordpress, Joomla, drupal,…), Other Frameworks (Zend framework, Codeigniter, CakePHP,…), CRM, ERP, Social networking …, mobile apps and mobile games (IOs apps, Android apps, windows phone apps,…). For now, we are having 3 offices: Head office is at Hanoi capital with more than 35 staffs, TN branch office is at Thai Nguyen city with more than 15 staffs, PT branch office is at Viet Tri city with more than 10 staffs. So, with our experience and manpower we always bring the best services and best results to the clients. Come up with ArrowHiTech and you will have the business success.

    PHP, ASP, C Programming, and Java

  • mitrasubir Profile Picture

    mitrasubir

    Kolkata,  India

    Areas Of Expertise: web development using PHP, HTML, DHTML, CSS, Ajax,jQuery, MsSql, MySql, Flash, PhotoShop, Dreamweaver etc. Resume: We are a team of professional designer and developer. We are in this web development field for the last fourteen years.

    PHP, Javascript, Script Install, and Website Design

  • varun8211 Profile Picture

    varun8211

    Indore,  India

    Galaxy Weblinks is a global technology development and services company that specializes in web and mobile development. Our first and most important job: to help our clients understand the totality of the technology landscape and conceive, design, implement, and support solutions that fit their needs – and budgets. As a global enterprise with offices across in the U.S., South America, Europe, Australia and Asia, Galaxy has the expertise, development bench, and digital marketing services to scale to meet virtually any business requirement. So whether you’re looking for a one-time application development, need to outsource your entire development operations, or want a marketing plan to expand your reach, our team can help. Here are some of the factors on why you should choose us for your next project. # Industry experience of 15+ years # Quality conscious project delivery # Quick communication using project management tool # Experienced team members # Friendly after-sales support

    PHP, ASP, C Programming, and Java

  • webzin Profile Picture

    webzin

    Bhubaneswar,  India

    Webzin Infotech is a web service company, offering a wide range of services that covers almost all fields in the best possible way. Over years we have built a strong reputation in providing web site design and web development services. Webzin Infotech provide you with an attractive and most convincing website to enhance your marketing goals. Our developers are qualified, prepared to meet even the highest of demands and compassionate and caring of your needs and your own vision for your web site. You need a company that will not treat you like just another number but instead will work one on one with you to meet your needs in the best way possible.

    PHP, Javascript, XML, and Website Design

  • OutsourceMan Profile Picture

    OutsourceMan

    Jaipur,  India

    Achieving a task requires immense hard work. The same goes with becoming a *Preferred Development Team*. A team who is chosen and recommended by more than 221+ employers. Our team ♥ and specialize in HTML, CSS, Javascript, jQuery, PHP, WordPress, Photoshop. We will thoroughly understand your needs and offer the best software service solutions. We'll partner with you to help you achieve your business goals by providing expert technology services. Lets get started! Raman Founder & CEO Since 2005

    PHP, Website Design, Graphic Design, and Copywriting