Mortgage Form with MySQL

I need this page:

[url removed, login to view]

Taken and converted so that the information is send to a database and an email is sent to me showing the person from "City, State" has submitted an application.

The form must have validations so the imporant fields cannot be left empty.

A login page for admin so I can view the applications, and delete as necessary.

My host is [url removed, login to view] and its windows hosting.

If this project is complete to satisfaction I have a huge project that you could do after.

CODER MUST be ABLE to use MSN messenger to speak to me.


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Acerca do Empregador:
( 0 comentários ) Minneapolis, United States

ID do Projeto: #61211

3 freelancers estão ofertando em média $77 nesse trabalho


Dear Sir, We can do this job for you in 3 [login to view URL] see pmb for [login to view URL]

$100 USD in 3 dias
(333 Comentários)

We can make it real within a couple of hours.

$80 USD in 0 dias
(68 Comentários)

Please check PM Thanks

$50 USD in 2 dias
(453 Comentários)