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Simple Data Capture Form on Holding page Plus 3 links Put In

Hi,

I have a very simple task.

I need a simple data capture form (similar to that on here: [url removed, login to view] ) added to a holding page for the website [url removed, login to view]

It will need to take the following details:

- Mobile number

- Email Address

The holding page graphic will be redesigned to allow the data capture box to fit.

3 links will also need to be put behind the holding graphic, one to Facebook, one to Twitter and one to a blog

The job will commence 3-5 working days upon confirmation of winning bidder

Skills: Graphic Design, HTML, PHP, Website Design

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

Project ID: #1155239

17 freelancers are bidding on average $71 for this job

webzin

Lets get it done.. Thnx Webzin Infotech

$100 USD in 2 days
(93 Reviews)
6.7
Magjoom

Will be done sir- we are ready to start, let me know

$150 USD in 4 days
(26 Reviews)
6.3
RichyJassal

Hi, XHTML. CSS, JQuery and photoshop expert, Richy

$65 USD in 2 days
(119 Reviews)
6.1
easycoders

Hi, Please check your inbox.

$30 USD in 1 day
(46 Reviews)
5.8
ad33lx

Please check my PM. Ready to work.

$50 USD in 5 days
(14 Reviews)
5.6
manageo

Hi, I can do it, please read the INBOX for details

$30 USD in 10 days
(19 Reviews)
4.1
Oldo

It is very simple task. It will fast job.

$40 USD in 1 day
(4 Reviews)
3.9
abbyphpindia

WE WILL NEVER LET U DOWN...PLEASE CHECK PMB

$100 USD in 2 days
(7 Reviews)
3.2
ADTClone

Fast, professional and easy to talk to. Check PM for more information.

$39 USD in 2 days
(5 Reviews)
2.7
tsaswade

Please check PMB.

$30 USD in 1 day
(2 Reviews)
2.4
saninfotech

============Dear Sir/Mam, Please check pm for more details. Thanks San============

$60 USD in 2 days
(3 Reviews)
1.9
lookatdan

Hi there, I can complete this work as soon as you need it.

$60 USD in 1 day
(0 Reviews)
0.0
Phyxiusoftwares

Dear sir, we are a reputed softwareindustry providing solutions all over the [url removed, login to view] believe in best quality and customer satisfaction and we assure you for longterm relation with [url removed, login to view] see your PM

$250 USD in 10 days
(0 Reviews)
0.0
shri8888

Hi, I am interested and eager to work on your project. The reason for the lowest bid is, I am a new frelancer here but i want recommendations from clients like you to help me grow in this. I am an experienced Software More

$30 USD in 2 days
(0 Reviews)
0.0
wisdevelop

Please check PM. Thanks.

$100 USD in 4 days
(0 Reviews)
0.0
gslogics

Respected sir we can do this for you Please check the website design attachment with this email. Thanks we can improve more if you like. Please check your PMB.

$30 USD in 1 day
(0 Reviews)
0.0
usema

please notify me ... Simple Data Capture Form on Holding page Plus 3 links Put In....

$50 USD in 10 days
(0 Reviews)
0.0