PHP Website form that feeds into an existing newsletter database, collects extra info too. (repost)

My client needs a form that collects first name, last name and email address as well as one of four secret codes. All three fields need to be required. There will be four secret codes distributed in advertisements which people will be asked to go to the site, enter their info and whatever secret code they got on their advertisement. When someone does not enter the correct secret code they need to receive a message on their page telling them they need to try again. We need to collect lists of who enters each of the four codes, so my client can see which advertisement was most effective. This can be in an excel file, or a private page on the site that breaks down who has entered what code. whatever works best. The personal information ultimately needs to feed into an existing database, which this form is currently feeding into. [url removed, login to view]

## Deliverables

1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.

2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):

a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.

b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.

3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).

## Platform


Habilidades: Amazon Web Services, Engenharia, MySQL, PHP, Arquitetura de software, Teste de Software, Hospedagem Web, Gestão de Site , Teste de Website

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Acerca do Empregador:
( 15 comentários ) United States

ID do Projeto: #2979179