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Registration system and Form for website

I am looking for someone to create an "online" registration system for two of my websites. I presently use Constant Contact, but do not really send out regular newsletters and want to avoid systems that require monthly charges. I simply want people who visit my website to be able to provide me with their personal information such as name, address, email address and maybe a few other items - basically a registration system for people who are requesting free items from me such as free ebooks, or possibly for those entering a free contest. If you can do this, please do describe what you can do, and what you would charge for the work. I would like the information to be stored with me and no one else - in addition i would prefer the work to be completed by someone who lives in North America.

Thank you.

Compétences : Programmation C, Programmation C++, Traitement de Données, Script Install

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Concernant l'employeur :
( 0 commentaires ) Canada

N° du projet : #2346755

9 freelance ont fait une offre moyenne de 104 $ pour ce travail

k00lcaptchrz

lets start...

100 $ USD en 2 jours
(44 Commentaires)
5.3
neoconcepts

php/mysql team

250 $ USD en 2 jours
(6 Commentaires)
4.1
aleexaibi

i will make the contact form for you :)

50 $ USD en 2 jours
(16 Commentaires)
3.6
aukint

Let me start it right away, please check pm for details thanks.

30 $ USD en 1 jour
(2 Commentaires)
2.7
Tpojka

I can code requested scripts for you.

250 $ USD en 5 jours
(1 Commentaire)
1.0
tajmohammed

i can do this for u !need details

30 $ USD en 1 jour
(0 Commentaires)
0.0
mowcoder

want to work !!

30 $ USD en 2 jours
(0 Commentaires)
0.0
zackhmiller

I can get this done fast using PHP and MySQL.

80 $ USD en 1 jour
(0 Commentaires)
0.0
vibhoragrawal01

I will try my best to pursue the task give by the Client and will try to make it according to bidder's choice.

120 $ USD en 3 jours
(0 Commentaires)
0.0