MySpace Lead Capture Form

I'm looking for a programmer to create a custom lead capture form specifically for use on MySpace Profiles. This form will be used to instantly capture interested prospects who indicate they have an interest in making money from home.

I would like to have some form of lead capture box that I can use on all of my myspace profiles. The lead capture page will be a simple serious of questions that people can "check off" and click submit so I can get that lead instantly in my email and call them on the phone.

Please let me know if this is something that could be done.

Thank you.

## Deliverables

1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.

2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):

a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.

b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.

3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).

## Platform


Skills: PHP

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About the Employer:
( 2 reviews ) Sutton, United States

Project ID: #3860921

1 freelancer is bidding on average $43 for this job


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$42.5 USD in 14 days
(58 Reviews)