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I am trying to create a lead-generation website for mortgages. I need the website to include a form that customers can fill out their information

* name

* email

* telephone

* address

I need this information to be kept in a database, and I also need an email auto-sent to different addresses depending on the contact form.

I currently have a a hosting package and domain with GoDaddy that I can use for this.

Skills: HTML, Javascript, MySQL, PHP, Website Design

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About the Employer:
( 0 reviews ) L, United Kingdom

Project ID: #7016964

30 freelancers are bidding on average $220 for this job

intelligencei

Hi! Thanks for posting this requirement. We are TOP RATED professionals at Freelancer.com working since 2004. We are experts with design and development works. You may refer to our reviews and ranking here: http More

$927 USD in 23 days
(134 Reviews)
8.5
mituld

Hi I work towards providing reliable, relevant and robust IT solutions at most competitive prices to my customers. I ensure 100% customer satisfaction so lets start Thanks

$247 USD in 12 days
(185 Reviews)
7.4
pytho

[login to view URL] ® Portfolio HERE, I have reviewed your project description and I am confident I can complete your website with all the customization you want to have integrated in the back-end. I am an experie More

$342 USD in 6 days
(60 Reviews)
7.4
scriptphp87

Hello, I'm a professional programmer for web programming with php language to build the system website, Besides, I'm also expert in MySQL , HTML,HTML5,CSS, JS I'm always top in Vietnam freelancer [login to view URL] More

$210 USD in 7 days
(168 Reviews)
7.4
conapps

Hello, We can definitely serve you with your requirements of creating a website for mortgages including a form based on given fields. We will also host this website, booked on your Godaddy. Please have a look More

$225 USD in 10 days
(146 Reviews)
7.3
niravvirani17

A proposal has not yet been provided

$210 USD in 5 days
(240 Reviews)
6.9
techwelfare

hi we could do it perfectly with accuracy, please let us know if you want to clarify in details.. if you want us to share our skill and previous work please initiate the chat by replying..

$246 USD in 9 days
(103 Reviews)
6.6
shreeyait

Hello Sir, Hope you are fine there. We are having good experience with Web based projects and the reason we came across here to give the best output to your project with supreme quality. We have develo More

$230 USD in 10 days
(46 Reviews)
6.3
sprextech

[login to view URL] ----------------------------------------------------------Please Consider on My BID---------------------------------------------------Dear Sir/Madam, We are already read your proje More

$200 USD in 5 days
(111 Reviews)
6.2
w4web

Hello Lets do it. I am a senior web developer with 7 years of experience in doing exactly similar projects....

$315 USD in 3 days
(222 Reviews)
6.1
phpdeveloper11

Over 10 years experience in web development i can build your lead generation form and also send emails as you along with storing in database. Lets talk more. see [login to view URL] [login to view URL] More

$222 USD in 4 days
(35 Reviews)
5.9
lassoarts

visit our work and let me know if we can start it Your website surly will be cms so that you will be able to update it at your end. We will provide creative and unique designs including designer banners, responsive More

$147 USD in 3 days
(22 Reviews)
5.9
deevan

Hello, Sir..!! It’s our Passion after all as being Passionate about “Project Description” got by us now we Love to Design&Develop at Extreme level Best using our 8yrs of Excellence having Diversified Experience; please More

$183 USD in 3 days
(37 Reviews)
5.8
webconsulting4u

Hello! I can design a streamlined website or mobile application for you that will exceed your expectations. I am an experienced developer in Wordpress, Joomla, Prestashop, Magento as well as custom PHP website More

$500 USD in 20 days
(10 Reviews)
5.8
caneadysl

Hi sir, Provide the detail requirement first. I am a master of php more than 11 years now. Already expertise in codeigniter framework with database like DB2,MYSQL,ORACLE & MSSQL I am very interested to working More

$200 USD in 5 days
(53 Reviews)
5.7
jasonbourne501

Hello Sir, I am ready to design and develop a professional website for you. There will be a form on which proper validation will be applied so that you won't get junk data. The form information will be saved in More

$233 USD in 3 days
(16 Reviews)
5.2
DKinfo

Hello, I am pretty comfortable in taking care of this project. I assure you that I can strictly follow your website needs, bringing exactly what you want. I'm a professional web developer having 5 years of workin More

$150 USD in 7 days
(32 Reviews)
5.0
faisalsultan512

Hi,My Name is faisal. i have checked your project and would like to have your project. I am confident to fulfill your requirements in timely manner, along with quality work. I'm a freelance Web developer, graphic More

$221 USD in 7 days
(22 Reviews)
4.9
seomaster212

Thank you for taking the time to read our initial posting, we have read initial project description and wanted to discuss further thru\' Freelancer PMB. So, please drop us a message from Freelancer PMB, we can then dis More

$526 USD in 5 days
(36 Reviews)
4.9
csatya

Hi, it's satyajit, offering the best services according to your budget. I have more than 4 years of experience in wide range brochure design, business card,logo design, graphics design, web designing and development s More

$120 USD in 7 days
(22 Reviews)
4.3