Wordpress: website for web quote

This project was awarded to ejemplo1010 for $50 USD.

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Project Budget
$30 - $250 USD
Total Bids
Project Description

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

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