Mortgage Lead Generation Webpage

I need a webpage to collect mortgage leads. It needs to look professional, as it's ONLY purpose to to get the prospect to fill out the form. I don't need a database. Once the prospect fills out the form it should email the info to me. (must include their ip)

I would also like the info (if possible) to be imported into my autoresponder.

I would like something like this site...

[url removed, login to view];search=home%20loan&p=3971&url=%[url removed, login to view]

I don't expect this to be an expensive project, I'm sure you have already done some projects like this in the past.

If you have questions please ask!!

Habilidades: PHP, Design de Sites

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ID do Projeto: #43143