Need web script for recording customer download info

We are running a software company, developing & marketing IQ Proxy Server @ [[url removed, login to view]][1]. Currently it works more like a shareware company where we do not gather customer emails and phone numbers. As our product has moved more into the enterprise class, we would like to be able to call our trial users back and email them to make more sales leads. We will need to gather the below information:

- Name

- Phone number (incl. country code)

- State

- Country

- Email address

- Company name

- # of employees in the company

- whether they would want to be contacted urgently

in the download php page and then send them an email (to verify their emails) with the two download links. We will be using PHP/MySQL on our hosted [url removed, login to view] page for this. Our site is currently hosted on Powweb. We need a developer who is experienced in dealing with SQL INJECTION attacks. We do not need web deisgn except the form as we will be using our current HTML.

## Deliverables

* * *This broadcast message was sent to all bidders on Wednesday Dec 14, 2011 7:33:57 AM:

Forgot to write, we need a simple admin backend that would list the data, with the urgent contact cases first. Also there should be a checkbox for "contacted" for each record. This simple design might be extended in the future so more work to come for the coder.

Skills: Amazon Web Services, MySQL, PHP, Software Architecture, Software Testing, Web Hosting, Website Management, Website Testing

See more: we need web developer, web page simple design download, web page design software download, web page deisgn, web developing company, web developer contact number, web design class, urgently web developer developer, software for developing web page, software developing web page, software developer phone number, software developer on call, software developer for marketing, software developer download, script php proxy web, proxy server simple, php software download, php script for web developer, need sql developer, need software developer for our company

About the Employer:
( 50 reviews ) Turkey

Project ID: #3752178

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