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Build a Simple Squeeze Page

I need a simple one page built that will have a lead form similar to this one here:

[login to view URL]

I have the ebook cover designed already and will provide you the form action from my GetResponse code, so you just design this and implement the code.

You will also need to create the simple second page after submitting the form.

Skills: Design, HTML, PHP, Software Architecture, Software Development

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About the Employer:
( 251 reviews ) Ft Myers Beach, United States

Project ID: #15344641

55 freelancers are bidding on average $121 for this job

ambalaonline1

Hello I have checked the squeeze [login to view URL] let me know what product you want to show on this [login to view URL] it be the coffee?Please let me know the color scheme to be used. Relevant Skills and Experience http://myleaseon More

$166 USD in 1 day
(427 Reviews)
8.3
raoasghar

Hi Sure i will develop responsive simple one page built that will have a lead form similar to this one here: [login to view URL] Can we start please Relevant Skills and Experience Web programming Experience : 8 yea More

$200 USD in 2 days
(276 Reviews)
7.5
usatechsoft

I have done same work for my client please check my work i Have 12 years working experience in web work Please check our client reviews to determine the quality of our work. Relevant Skills and Experience http:/ More

$155 USD in 3 days
(143 Reviews)
7.6
webcolonizer

HI, I UNDERSTAND PERFECTLY YOUR NEEDS AND I AM READY TO START RIGHT NOW. I HAVE STRONG KNOWLEDGE IN XHTML, CSS, JQUERY, AJAX, [login to view URL] SATISFACTION IS MY GOAL Relevant Skills and Experience https://brewhaus.com. More

$111 USD in 1 day
(93 Reviews)
7.2
hawkscodeaus

Web developer, 7+ yrs of experience in development and designing Relevant Skills and Experience I am good in HTML, CSS, PHP*(Laravel, ASP.net, C#, YII, CakePHP, Codeigniter), HTML*,CSS, MySQL, Ms-SQL,Twitter BootStrap More

$177 USD in 3 days
(116 Reviews)
7.5
samsugestion

Hello, Sir,****Let's START***** I'm much interested this job,I have in more then 11 years experience. I am 100% surely you will get quality work from me. Specialized in UI/UX, Web Designing, Slicing Relevant Skills an More

$100 USD in 0 days
(127 Reviews)
6.3
abhaygoswami1

** 6+ Years of Experience** Hello, Reviewed Reference ***I would be designing a fully responsive and elegant Squeeze page for you*** Please initiate chat to discuss the project. Regards, Abhay G. Relevant Skills and E More

$70 USD in 3 days
(99 Reviews)
6.5
yogeshssanwal

Hi, I read your Job Description, It seems that you need to Build a Simple Squeeze Page that will be similer to the Existing one. I am ready to start work on your Project immediately. Relevant Skills and Experience Web More

$65 USD in 1 day
(211 Reviews)
6.9
CoderCrew

Hi Regarding designing a simple page please come on chat for more discussion. i will wait for your positive response Thanks Relevant Skills and Experience html Proposed Milestones $155 USD - f

$155 USD in 3 days
(140 Reviews)
6.5
WebXcellance

Simple website build Relevant Skills and Experience Respected Sir, We have 7+ year exp in php html and wordpress. We have expertise in content management system in wordpress. Proposed Milestones $92 USD - Project

$92 USD in 3 days
(123 Reviews)
6.7
hyperexpert07

Hi. I checked [login to view URL] and understand you need a squeeze page. I can build it and integrate it with getresponse. Relevant Skills and Experience I have built different landing apges bef More

$80 USD in 3 days
(161 Reviews)
6.6
Avinavkr

Dear _____(Sir or Madam) I Mr. Avinav Kumar on behalf of  Softpointzone  is writing this letter to offer our web designing and development  services to [login to view URL] company excels in providing web designing and development More

$111 USD in 2 days
(107 Reviews)
6.7
caroldata

Hi, I saw your description as you are planning to design single page like [login to view URL] so this look perfect skill set for me . ping me on chat to make your decision Relevant Skills and Experience My name is More

$100 USD in 7 days
(42 Reviews)
6.5
Conepoint

Landing page needs to be built Relevant Skills and Experience [login to view URL] Proposed Milestones $30 USD - milestone

$30 USD in 3 days
(99 Reviews)
6.0
imphasys

Hi There, I've checked your requirements and I am much interested to assist you on the development of your Project with fulfilling all of and elegantly. Relevant Skills and Experience I have a complete knowledge of an More

$180 USD in 3 days
(54 Reviews)
5.9
$111 USD in 3 days
(71 Reviews)
5.7
abhishekkoundal6

As per your job description, I am the senior developer I am skilled in both the front end and back end technologies Relevant Skills and Experience web design and development Proposed Milestones $155 USD - complete so More

$155 USD in 3 days
(26 Reviews)
5.7
navjootkaur

Hi, i read your project description you want to build squeeze landing page. Sure let's discuss more. Relevant Skills and Experience I have 5+ years experience in web development. Proposed Milestones $222 USD - Design More

$222 USD in 3 days
(83 Reviews)
5.7
phpmaestro20

Hello I hope you're all right today. I've checked the condition and we can give you the answer to a job with a piece. Relevant Skills and Experience specialize in: PHP and PHP frameworks, WordPress and-commerce, open More

$155 USD in 3 days
(48 Reviews)
5.4
DevSazal

You need to build an one page website that’s cover the requirements of your project And I also ensure Great UX; Great Design; Interaction Design; High Security; Great Usability for your project. Relevant Skills and Ex More

$140 USD in 0 days
(30 Reviews)
5.3