Business Loan Lead Capture Page

I am getting ready to start a loan company and I need to get a lead capture page built. I will need to be able to retrieve the data in via email. Here is an example of how I want the lead generation form to look.

[login to view URL]

I will supply all the information once I award you the project.

I would love to see links to simalar work that you have done.

Good Luck.

Skills: PHP, HTML, Website Design, Graphic Design, CSS

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About the Employer:
( 3 reviews ) Montgomery, United States

Project ID: #20090966

Awarded to:

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