Simple Form

I need a form to gather the following info on an asp site:

it will be laid out as follows -


**All information is required.


- Name -

- Email -

- Phone Number

- Services Interested in:

(checkboxes) Mortgage __ Real Estate (Buying) __ (Selling) __ Financial/Investment Services __

- Comment Box (1000 characters with spaces)


**Spam/Privacy Policy** - We hate it too. Your information will only be used by providers within our network to help you with the services requested.


This form will then email to gburke at [url removed, login to view]


the form will need to be uploaded and working and match the current site look/feel - it will be [url removed, login to view]

ftp info to follow upon acceptance of bid

## 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

all major browsers

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

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Acerca do Empregador:
( 61 comentários ) Royal Oak, United States

ID do Projeto: #3057024

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