Need someone to build a insurance quoting website. This website will be custom to retrieve data input from a customer so we can call them back and give a live phone quote. Need to have a plug in to make sure the phone number and email is not a fake.
The web page will retrieve address,age, sex, birthdate, phone number,zipcode,email, height, weight.
Final landing page:[url removed, login to view] <----CPA
[url removed, login to view] <--quote site (example)
Please dont bid if your price is over $50