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lead capture page

This project received 27 bids from talented freelancers with an average bid price of $117 USD.

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Employer working
Project Budget
$30 - $250 USD
Total Bids
27
Project Description

I am needing a lead capture page that will then redirect to a website i have. I want to capture the persons name, email, and phone. I want to have an their information emailed to me when the log in. I will provide a rough design for the page and provide the pictures that will be needed on the page. I will need to be able to easily edit the text on the page if I wish.

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