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lead capture page

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.

Skills: Graphic Design, HTML, PHP, Website Design

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About the Employer:
( 1 review ) McAlester, United States

Project ID: #4982026

25 freelancers are bidding on average $108 for this job

toinnisfree

I have read your project details, and I am interested in offering my services. I provide 100% satisfaction guaranteed on all my work. Milestone is required to begin; to be released when the job has been satisfactor More

$135 USD in 3 days
(573 Reviews)
8.0
freshwebsites

Hello, We have reviewed your project details thoroughly and we can create a high-end, professional and credible looking lead capture page for your Website as per your requirements. We can do this for $200 and this w More

$206 USD in 4 days
(27 Reviews)
7.8
mindblowcreative

Hello, We do like your project and we are interested. The project is in the core of our expertise: Web Design, Development and User-experience and we are all confident that we can do an excellent job on this lead More

$257 USD in 5 days
(30 Reviews)
7.4
inspirad

Hi, I am interested and ready to start. We are very good with project. We completed soo many landing design projects. Please check my feedback. Thanks Inspirad

$84 USD in 2 days
(350 Reviews)
7.4
neoconcepts

we are expert designer and developer. we are ready to develop this lead capturing website. lets's start

$105 USD in 3 days
(129 Reviews)
7.3
imwebdesigner

I can design attractive, professional and eye-catching lead capture page form with Name, email & phone fields.

$83 USD in 4 days
(287 Reviews)
7.3
dagdya99

Hi, I'm interested in working with you. I have more than 12 years of working experience in Web technologies like PHP, MySQL, SQL Server, HTML, Java Script, AJAX etc. I've successfully completed various web proje More

$130 USD in 3 days
(145 Reviews)
6.8
webzin

For more details please refer our profile,portfolio and some of our recent sites listed with this message : Ongoing Developments : ======================= [url removed, login to view]~wordpri7/tour/ [url removed, login to view] More

$144 USD in 3 days
(96 Reviews)
6.8
alifinteractive

Hi, We have a good team of expert coders and designers in New Delhi, [url removed, login to view] have many satisfied clients all over the [url removed, login to view] already have successfully launched many ecommerce,blog, social networking and other web More

$154 USD in 4 days
(45 Reviews)
6.5
triviainfo

Hello, Please provide us some more details so that we can quickly get back to you with some draft outline. In the meantime please make it convenient to glance through : Some of our Sales/Landing page projects More

$83 USD in 3 days
(350 Reviews)
6.3
superlayout

Hello, we thank you for giving us an opportunity to bid on your project. After familiarizing ourselves with the requirements of your project, we feel very confident that we have the experience and resources required to More

$144 USD in 15 days
(46 Reviews)
6.0
abhius

Hello Sir, Can do the job . I have understood your requirements and can start. Do you need admin section to edit the page ? Looking forward working with you. Regards, Abhi

$94 USD in 3 days
(66 Reviews)
5.9
deevan

Hello, we have carefully read the job description and are ready to perform the project as we are professional designers and developers. We have both experience and skill in designing logo, graphics and websites so we a More

$99 USD in 5 days
(30 Reviews)
5.6
innovativetech3

Have a vast experience in creating a landing page so we offer our services to you for your project. We are group of professionals and We do rather splendid websites which are innovative, simple yet appealing to audienc More

$90 USD in 5 days
(33 Reviews)
5.6
SOHAILAHMAD786

Hi, Quality work is our aim and unlimited revision till your satisfaction. Mostly no need to get revision. Some work we done in past is given below:- Shopping [url removed, login to view] [url removed, login to view] More

$185 USD in 3 days
(42 Reviews)
5.5
ktmfreelancer

Hello there, thank you for detailed description. Wordpress(CMS)/PHP/XHTML/CSS/Javascript/ MYSQL/CSS/CSS2/CSS3 is what i am expert in. I went through your requirement.I can create an elegant lead capture website with a More

$250 USD in 10 days
(21 Reviews)
5.4
spalshmedia

I am expert in landing page and website design. Please find below urls of my design landing pages with best offer. i will give you landing page, order page, thankyou page, conformation page & upsell page with this j More

$105 USD in 3 days
(23 Reviews)
5.3
NewWindow

I have read your proposal and i am sure that your search will come end here..i have some questions about capture page and some small issue to be solved. please talk to me to proceed..

$34 USD in 3 days
(30 Reviews)
5.1
Reflexlogic

Hello, I have reviewed your requirement. I can develop a page for you that will collect information & sent to you over the email. As you will send pictures & rough layout, I'll also present that in nicer way. T More

$98 USD in 5 days
(15 Reviews)
5.0
mamoonraza

Let's discuss. I will provide you a fully customizable page with the login form etc from which you are going to get information which will be emailed to you and user will be redirected. If this is not what you want the More

$138 USD in 1 day
(28 Reviews)
4.6