Simple lead capture page

Closed

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.

## Deliverables

a simple lead capture page as described above.

## Platform

6.0+ versions of Internet Explorer and 2.0+ versions of Firefox

Skills: Marketing, Sales

See more: similar simple lead capture, lad, fro video, short lead video, email marketing sales lead, simple sales video, simple video capture, capture email name, email viewer asp, simple email viewer, sales page lead capture, video lead, phone lead, www basic marketing com, simple video phone, site email capture, automatically page video plays, menu asp drop, simple asp contact, lead contact, capture page video, video menu page, simple viewer site, simple video viewer, simple page lead capture site

Project ID: #3423893

2 freelancers are bidding on average $85 for this job

Eyedevelop

See private message.

$85 USD in 1 day
(6 Reviews)
3.7
csstumpy

See private message.

$85 USD in 1 day
(1 Review)
1.6