Create simple entry form that goes into MySQL Databse and integrates with email

Closed Posted Jun 1, 2009 Paid on delivery
Closed Paid on delivery

Entry form needed that can be dumped right into a MySQL databased that is hosted on my server (for back up purposes) and then have the capability to export this to excel spreadsheet if needed later on. Also when? a form is submitted, I'd like the capability once a form was submitted to have the data submitted to a designated email addresses.?

The data that needs to be collected

First name

Last Name

Email

Phone with area code

Secondary Phone:

Fax

Company name

Mailing Address - text box

City

State

Zip

Country

Site/url/pgae to be promoted

keyword to be associated with site

description/purpose/objective of article - (Hint, what do you want your article to be written about)

Buttons:

Submit Clear

submit and Start Another Entry form for my Next Keyword

This should be fast and simple for someone who knows what they are doing.

Simple html.

Nothing fancy.

Do it by tonight.

Amazon Web Services Engineering Marketing MySQL PHP Project Management Software Architecture Software Testing Web Hosting Website Management Website Testing

Project ID: #3917280

About the project

23 proposals Remote project Active Jun 23, 2009

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