web form and database for lead generation

i have a landing page that needs to get a form in it and transfer the data to a database where it will go out to the clients via email and/or xml type files.

So the client says to us here's $100 and i want you to send me leads from this area "City Name" or "State" or the whole "U.S." So we add $100 to their account and they start getting leads automatically to their email say at $1 each or whatever I set for them. Now when their account gets below a certain level say $10 it sends an email to the client and to their sales rep. to notify them about the low balance. This needs to be sortable at a "local" level. So if a client says "I need leads in Fort Lauderdale" I need to put something in like "Fort Lauderdale Area" and get the whole area, everything in Broward County. Fort Lauderdale, Lauderdale by the Sea, Lauderdale Lakes, Coral Springs, Davie, Wilton Manors, Coconut Creek, Pembooke Pines, etc. (all the towns in the area)This needs to work the same for the whole U.S. and town/area.

The website form portion needs to be [url removed, login to view] compliant. Also it needs to render in all the major browsers down to Chrome Opera Sarari etc.

It looks like I am new to this site but it is because the guy i had doing this work before flaked out. I know all the basics here. I'm in Fort Lauderdale FL.

Taidot: Java, PHP, projektinhallinta, SQL, Verkkoturva

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Tietoa työnantajasta:
( 11 arvostelua ) Fort Lauderdale, United States

Projektin tunnus: #478122