I would like a simple lead capture page that plays a short video automatically. In addition to the basic information (Name, email, phone) I would like a drop-down menu for the viewer to select the #1 reason fro visiting the site and what level of interest the viewer has, similar to the lead capture page found here: <[url removed, login to view]> (this lad capture page is rather sophisticated, and I don't need anything this elaborate right now)
I would like to be notified by email when someone provides contact information.
a simple lead capture page as described above.
6.0+ versions of Internet Explorer and 2.0+ versions of Firefox